| Ryan Daniel Prusa, DPM | |
|
400 22nd Ave, Brookings, SD 57006-2447 | |
| (605) 697-9500 | |
| Not Available |
| Full Name | Ryan Daniel Prusa |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 400 22nd Ave, Brookings, 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 |
|---|---|---|---|
| 1902464027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 249 (South Dakota) | Primary |
| 213E00000X | Podiatrist | 096109 (Iowa) | Secondary |
| Provider Name | City Of Brookings |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Daniel Prusa, DPM 400 22nd Ave, Brookings, SD 57006-2447 Ph: (605) 697-9500 | Ryan Daniel Prusa, DPM 400 22nd Ave, Brookings, SD 57006-2447 Ph: (605) 697-9500 |
Nephi Jones, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 | |
Foot And Ankle Clinic, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3405 6th St, Brookings, SD 57006 Phone: 605-693-7246 Fax: 605-693-7247 | |
Dr. Tyler Richard Harrell, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 |