| Dustin Charles Randall, CNP | |
|
804 S. Walnut Street, Freeman, SD 57029 | |
| (605) 925-4219 | |
| (605) 925-4220 |
| Full Name | Dustin Charles Randall |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 804 S. Walnut Street, Freeman, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982967451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP000712 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Medical Center - Cah | Freeman, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman Regional Health Services | 7315908324 | 7 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Platte Community Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629072400 PECOS PAC ID: 6507770054 Enrollment ID: O20061018000130 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710155460 PECOS PAC ID: 9335050806 Enrollment ID: O20080714000163 |
| Entity Name | Platte Community Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1235133109 PECOS PAC ID: 6507770054 Enrollment ID: O20101018000651 |
| Entity Name | Freeman Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740570076 PECOS PAC ID: 7315908324 Enrollment ID: O20110519000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Charles Randall, CNP 804 S Walnut St, Freeman, SD 57029-2033 Ph: (605) 925-4219 | Dustin Charles Randall, CNP 804 S. Walnut Street, Freeman, SD 57029 Ph: (605) 925-4219 |
Dr. Tanya Schaeffer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E 8th St, Freeman, SD 57029 Phone: 605-925-4000 | |
Tressa Marie Sattler, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E 8th St, Freeman, SD 57029 Phone: 605-925-4219 | |
Sheila Rigo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E 8th St, Freeman, SD 57029 Phone: 605-925-2102 |