| Justin Ward, | |
|
300 W 5th St, Miller, SD 57362-1238 | |
| (605) 853-0175 | |
| Not Available |
| Full Name | Justin Ward |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 300 W 5th St, Miller, 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 |
|---|---|---|---|
| 1205294469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001033 (South Dakota) | Primary |
| 363L00000X | Nurse Practitioner | CP001033 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huron Regional Medical Center | Huron, SD | Hospital |
| Avera Hand County Memorial Hospital And Clinic | Miller, SD | Hospital |
| Sanford Chamberlain Medical Center | Chamberlain, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Sanford Health Network | 6800707100 | 307 |
| 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 | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Entity Name | Huron Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134140825 PECOS PAC ID: 6800707100 Enrollment ID: O20061104000503 |
| Entity Name | American Advanced Practice Network Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790244341 PECOS PAC ID: 0749517860 Enrollment ID: O20190830001647 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Ward, 300 W 5th St, Miller, SD 57362-1238 Ph: () - | Justin Ward, 300 W 5th St, Miller, SD 57362-1238 Ph: (605) 853-0175 |
Cassandra A Gutzmer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0158 Fax: 605-853-3885 | |
Haley Fulton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-2421 | |
Mrs. Michele Lynne Wieseler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0158 Fax: 605-853-3885 | |
Karen Joan Runge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0158 Fax: 605-853-3885 |