Dr Marc E Boddicker, MD - Medicare Dermatology in Rapid City, SD

Dr Marc E Boddicker, MD is a medicare enrolled "Dermatology" physician in Rapid City, South Dakota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Dermatology. His current practice location is 710 Saint Anne St, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 343-8000.

Dr Marc E Boddicker is licensed to practice in South Dakota (license number 1485) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235103060.

Contact Information

Dr Marc E Boddicker, MD
710 Saint Anne St,
Rapid City, SD 57701-4670
(605) 343-8000
(605) 341-8575



Physician's Profile

Full NameDr Marc E Boddicker
GenderMale
SpecialityDermatology
Experience44 Years
Location710 Saint Anne St, Rapid City, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Marc E Boddicker attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1980
  NPI Data:
  • NPI Number: 1235103060
  • Provider Enumeration Date: 02/16/2006
  • Last Update Date: 03/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537155031
  • Enrollment ID: I20100217000747

Medical Identifiers

Medical identifiers for Dr Marc E Boddicker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235103060NPI-NPPES
41192855200OtherSDNE MEDICAID
070013291OtherSDRR MEDICARE
5900162MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 1485 (South Dakota)Primary
207ND0900XDermatology - Dermatopathology 1485 (South Dakota)Secondary
207NS0135XDermatology - Procedural Dermatology 1485 (South Dakota)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 1485 (South Dakota)Secondary

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. Dr Marc E Boddicker allows following entities to bill medicare on his behalf.
Entity NameAdvanced Dermatology Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346389178
PECOS PAC ID: 5294721775
Enrollment ID: O20040421000779

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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. Dr Marc E Boddicker 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 AddressPractice Location Address
Dr Marc E Boddicker, MD
Po Box 3468,
Rapid City, SD 57709-3468

Ph: (605) 343-8000
Dr Marc E Boddicker, MD
710 Saint Anne St,
Rapid City, SD 57701-4670

Ph: (605) 343-8000

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Dermatology Doctors in Rapid City, SD

Tamara Poling,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701
Phone: 605-342-3280    
Dr. Heather Rae Peck, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2805 5th St Ste 210, Rapid City, SD 57701
Phone: 605-343-2267    
Dr. Linda Jo Fromm, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4447 S Canyon Rd Ste 6, Rapid City, SD 57702
Phone: 605-721-5550    Fax: 605-721-5515
Cynthia A Anderson,
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701
Phone: 605-721-8354    Fax: 605-721-8458
Briana Hill,
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701
Phone: 605-342-3280    
Victoria Finley,
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701
Phone: 605-342-3280    

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