| Mary Ann Marrs, CNP | |
|
7220 S Highway 16, Rapid City, SD 57702-8708 | |
| (605) 341-1414 | |
| (605) 341-7062 |
| Full Name | Mary Ann Marrs |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist |
| Location | 7220 S Highway 16, Rapid City, 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 |
|---|---|---|---|
| 1144201708 | NPI | - | NPPES |
| P00427538 | Other | MEDICARE RAILROAD PTAN | |
| 1254560001 | Other | SD | CIGNA MEDICARE |
| 6827452 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R029403 (South Dakota) | Secondary |
| 364S00000X | Clinical Nurse Specialist | SD-CNP CP000412 (South Dakota) | Primary |
| Entity Name | Black Hills Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1376896621 PECOS PAC ID: 5496742835 Enrollment ID: O20130513000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Marrs, CNP 7220 S Highway 16, Po Box 6850, Rapid City, SD 57702-8708 Ph: (605) 341-1414 | Mary Ann Marrs, CNP 7220 S Highway 16, Rapid City, SD 57702-8708 Ph: (605) 341-1414 |
Julie Ann Hericks, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2234 Fax: 605-355-2512 | |
Dr. Marylou Mylant, PHD, RN, PMHNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1011 11th St, Rapid City, SD 57701 Phone: 605-394-6617 Fax: 605-394-1250 | |
Patricia Wiles, CMA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 111 North St, Rapid City, SD 57701 Phone: 605-343-0650 |