Ryan Frederick Poppe, RN in Watertown, SD - Medicare Nurse Practitioner

Ryan Frederick Poppe, RN is a medicare enrolled "Nurse Practitioner - Family" in Watertown, South Dakota. His current practice location is 1056 29th St Se, Watertown, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 753-0960.

Ryan Frederick Poppe is licensed to practice in South Dakota (license number CP001399) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053806455.

Contact Information

	Ryan Frederick Poppe, RN
	1056 29th St Se, Watertown, SD 57201-9120
	(605) 753-0960
	Not Available

Map and Direction

Provider's Profile

Full Name	Ryan Frederick Poppe
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1056 29th St Se, Watertown, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053806455
Provider Enumeration Date: 06/27/2018
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2163771825
Enrollment ID: I20180814003084

Medical Identifiers

Medical identifiers for Ryan Frederick Poppe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053806455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R036441 (South Dakota)	Secondary
363L00000X	Nurse Practitioner	CP001399 (South Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	CP001399 (South Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Frederick Poppe allows following entities to bill medicare on his behalf.

Entity Name	Landmann Jungman Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649321407 PECOS PAC ID: 2961461421 Enrollment ID: O20041008001072

Entity Name	South Dakota Urban Indian Health, Inc Sduih
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952473233 PECOS PAC ID: 8820182058 Enrollment ID: O20090227000130

Entity Name	American Advanced Practice Network Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790244341 PECOS PAC ID: 0749517860 Enrollment ID: O20190830001647

Entity Name	Acute Care Surgery Of South Dakota Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730797184 PECOS PAC ID: 5698195030 Enrollment ID: O20201026000211

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Frederick Poppe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ryan Frederick Poppe, RN 600 Billars St, Scotland, SD 57059-2026 Ph: (605) 583-2226	Ryan Frederick Poppe, RN 1056 29th St Se, Watertown, SD 57201-9120 Ph: (605) 753-0960

Reviews and Comments

Nurse Practitioner Nurses in Watertown, SD

Mrs. Jacklyn Ann Karli, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7953
Bethany K Schultz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471
Stefanie Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1056 29th St Se, Watertown, SD 57201 Phone: 605-753-0960
Melissa J Magstadt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1028 29th St Se, Watertown, SD 57201 Phone: 605-878-2888
Allison Theresa Tracy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1512 4th St Ne, Watertown, SD 57201 Phone: 605-884-0100
Kristina R Boetel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 1st Ave Se, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300
Hanna Eide, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471

Ryan Frederick Poppe, RN - Medicare Nurse Practitioner in Watertown, SD