| Ms Cynthia Elaine Boltz, | |
|
109 Pugh St, Martin, SD 57551-7700 | |
| (605) 685-6868 | |
| (866) 423-6811 |
| Full Name | Ms Cynthia Elaine Boltz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 109 Pugh St, Martin, 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 |
|---|---|---|---|
| 1083915789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001936 (South Dakota) | Primary |
| Entity Name | Horizon Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974 |
| Entity Name | Midwest Mental Health Of Sd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154064269 PECOS PAC ID: 7618353277 Enrollment ID: O20221005000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Cynthia Elaine Boltz, 109 Pugh St, Martin, SD 57551-7700 Ph: (605) 685-6868 | Ms Cynthia Elaine Boltz, 109 Pugh St, Martin, SD 57551-7700 Ph: (605) 685-6868 |
Lindsey Heath, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 550, Martin, SD 57551 Phone: 605-685-6868 Fax: 866-423-6811 | |
Jennifer Risse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Major Allen St, Martin, SD 57551 Phone: 605-685-1660 Fax: 605-685-1166 | |
Theresa E. Hammerquist, MSN, APRN, NP-C, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Pugh St, Martin, SD 57551 Phone: 605-685-6868 |