| Zachary Gordon Hague, | |
|
353 Fairmont Blvd, Rapid City, SD 57701-7375 | |
| (605) 390-0762 | |
| Not Available |
| Full Name | Zachary Gordon Hague |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 353 Fairmont Blvd, Rapid City, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093176232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | SD-RNR036473 (South Dakota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR000911 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Rapid City Hospital Inc | 6002729506 | 488 |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Gordon Hague, 822 Crimson Ct, Rapid City, SD 57701-6505 Ph: (605) 390-0762 | Zachary Gordon Hague, 353 Fairmont Blvd, Rapid City, SD 57701-7375 Ph: (605) 390-0762 |
Ms. Donna Marie Huber, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2298 Fax: 605-355-2553 | |
Linda Marie Richards, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Drive, Indian Health Service, Rapid City, SD 57702 Phone: 605-355-2500 Fax: 605-355-2515 | |
Jodi Lynn Moore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 410 E Monroe St, Rapid City, SD 57701 Phone: 605-341-6448 Fax: 605-341-2941 | |
Kathy Hogg, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 | |
Julia Marie Bitz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 Quincy St, Rapid City, SD 57701 Phone: 605-391-4863 Fax: 605-342-3692 | |
Colette Devries, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2165 Promise Rd, Rapid City, SD 57701 Phone: 605-347-2511 | |
Barb Volker, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4605 Wentworth Dr, Rapid City, SD 57702 Phone: 605-484-8611 |