| Ms Angel Lee Wilson-crowe, ARNP | |
|
24276 166th St, Eagle Butte, SD 57625-8141 | |
| (605) 964-0675 | |
| Not Available |
| Full Name | Ms Angel Lee Wilson-crowe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24276 166th St, Eagle Butte, 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 |
|---|---|---|---|
| 1164430658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R024323 (South Dakota) | Primary |
| Entity Name | Us Health Dept Of Health & Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Entity Name | Great Plains Tribal Chairmens Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376105452 PECOS PAC ID: 0648609917 Enrollment ID: O20200408001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Angel Lee Wilson-crowe, ARNP 24276 166th St, Eagle Butte, SD 57625-8141 Ph: (605) 964-0532 | Ms Angel Lee Wilson-crowe, ARNP 24276 166th St, Eagle Butte, SD 57625-8141 Ph: (605) 964-0675 |
Carla Ann Schweitzer, CN P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 E Hwy 212, Eagle Butte, SD 57625 Phone: 605-964-8000 Fax: 605-964-1118 | |
Candace Mae Veit, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 112 S Main St, Eagle Butte, SD 57625 Phone: 605-964-7700 | |
Mrs. Kathleeen Kae Zambo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24276 Airport Road, Eagle Butte, SD 57625 Phone: 605-964-7724 Fax: 605-964-1110 | |
Susan F Baker, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Ihs Main Street, Eagle Butte, SD 57625 Phone: 605-964-3004 Fax: 605-964-1110 | |
Deleen Jean Kougl, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Main Street, Eagle Butte, SD 57625 Phone: 605-964-7700 Fax: 605-964-7701 | |
Amanda Wortman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24276 166th St, Airport Rd, Eagle Butte, SD 57625 Phone: 605-964-7724 |