| Joseph Welty, CRNA | |
|
1100 E 26th St, Sioux Falls, SD 57105-4023 | |
| (605) 338-7098 | |
| (605) 335-3505 |
| Full Name | Joseph Welty |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1100 E 26th St, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518980143 | NPI | - | NPPES |
| 04M01WE | Other | MN | MN BLUE CROSS BS |
| 1518980143 | Medicaid | IA | |
| 437816400 | Medicaid | MN | |
| 5750732 | Medicaid | SC | |
| 0004977 | Other | SD | BLUE CROSS SD |
| 5750734 | Medicaid | SD | |
| 1945014 | Medicaid | IA | |
| 46022474348 | Medicaid | NE | |
| 4992556 | Other | SD | SD BLUE CROSS |
| R019227 | Other | SD | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000334 (South Dakota) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Rcsd Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245815893 PECOS PAC ID: 2264840974 Enrollment ID: O20210419001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Welty, CRNA 1100 E 26th St, Sioux Falls, SD 57105-4046 Ph: () - | Joseph Welty, CRNA 1100 E 26th St, Sioux Falls, SD 57105-4023 Ph: (605) 338-7098 |
Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000 | |
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727 | |
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226 | |
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 |