| Mrs Rena J Robbennolt, CNP | |
|
608 E Garfield Ave, Gettysburg, SD 57442-1325 | |
| (605) 765-2273 | |
| (605) 765-2273 |
| Full Name | Mrs Rena J Robbennolt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 608 E Garfield Ave, Gettysburg, South Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851370746 | NPI | - | NPPES |
| 6825683 | Medicaid | SD | |
| 6825682 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0200 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP000200 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Gettysburg Hospital | Gettysburg, SD | Hospital |
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Gettysburg | 4284619362 | 8 |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Entity Name | Avera Gettysburg |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319 |
| Entity Name | Avera Gettysburg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366091357 PECOS PAC ID: 4284619362 Enrollment ID: O20191025000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rena J Robbennolt, CNP 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Ph: (605) 945-5201 | Mrs Rena J Robbennolt, CNP 608 E Garfield Ave, Gettysburg, SD 57442-1325 Ph: (605) 765-2273 |
Daylon Duane Wigart, RN MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 E Garfield Ave, Gettysburg, SD 57442 Phone: 605-765-2461 | |
Darci Leisenring, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606 E Garfield Ave, Gettysburg, SD 57442 Phone: 605-765-2488 Fax: 605-765-2197 | |
Connie Belford, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 E Garfield Ave Ste C, Gettysburg, SD 57442 Phone: 605-765-2273 Fax: 605-765-2474 |