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 |
Experience | 5 Years |
Location | 109 Pugh St, Martin, 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 |
---|---|---|---|
1083915789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP001936 (South Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oglala Sioux Tribe | 5991820599 | 2 |
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 |
Entity Name | Oglala Sioux Tribe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932824331 PECOS PAC ID: 5991820599 Enrollment ID: O20230117002029 |
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 |
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 |