| Shannon Wolfinbarger, CNM | |
|
1201 E. Hwy 18, Pine Ridge, SD 57770 | |
| (605) 867-3003 | |
| (605) 867-3305 |
| Full Name | Shannon Wolfinbarger |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1201 E. Hwy 18, Pine Ridge, 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 |
|---|---|---|---|
| 1235591413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Wolfinbarger, CNM Po Box 1407, Pine Ridge, SD 57770-1407 Ph: (909) 991-6062 | Shannon Wolfinbarger, CNM 1201 E. Hwy 18, Pine Ridge, SD 57770 Ph: (605) 867-3003 |
Ms. Barbara Mellor, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1201 E Hwy 18, Pine Ridge Hospital, Pine Ridge, SD 57770 Phone: 605-867-3003 | |
Mrs. Kellie R Thiessen, CNM,MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1201 E. Hwy 18, Pine Ridge, SD 57770 Phone: 605-867-3003 | |
Barbara Gale Hosei, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1201 East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-3003 Fax: 605-867-3305 |