| Matthew Davalos, | |
|
216 Anamaria Dr, Rapid City, SD 57701-7366 | |
| (605) 721-4700 | |
| Not Available |
| Full Name | Matthew Davalos |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 216 Anamaria Dr, Rapid City, 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 |
|---|---|---|---|
| 1043189277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP003907 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Black Hills Surgical Hospital Llc | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black Hills Surgical Hospital Llc | 5496742835 | 173 |
| Entity Name | Black Hills Surgical Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336009646 PECOS PAC ID: 5496742835 Enrollment ID: O20050616000485 |
| 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 |
|---|---|
| Matthew Davalos, 216 Anamaria Dr, Rapid City, SD 57701-7366 Ph: Not Available | Matthew Davalos, 216 Anamaria Dr, Rapid City, SD 57701-7366 Ph: (605) 721-4700 |
Maria Sargent, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 |
Kayla Sayer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-755-3300 |
Nicole Paulette Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Anne St, Rapid City, SD 57701 Phone: 605-348-8000 Fax: 952-431-5334 |
Jennifer Ann Erdman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Anne St, Rapid City, SD 57701 Phone: 605-348-8000 Fax: 605-348-4315 |
Jessica Buckley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Pine St, Rapid City, SD 57701 Phone: 605-721-8939 Fax: 605-721-8998 |
Morgan Folchert, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 Centre St Ste 2, Rapid City, SD 57703 Phone: 308-249-2912 |
Alana Marie Mastin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 Cathedral Dr, Rapid City, SD 57701 Phone: 605-755-4150 |