Gloria D Walz, CNP in Custer, SD - Physician Assistant

Gloria D Walz, CNP is a Physician Assistant based in Custer, South Dakota. Gloria D Walz is licensed to practice in South Dakota (license number 0270) and her current practice location is 1041 Montgomery Street, Custer, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 673-4150.

NPI number for Gloria D Walz is 1326028937 and her current mailing address is 353 Fairmont Blvd, Atten Mss, Rapid City, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326028937.

Contact Information

	Gloria D Walz, CNP
	1041 Montgomery Street, Custer, SD 57730-1304
	(605) 673-4150
	(605) 673-3917

Provider's Profile

Full Name	Gloria D Walz
Gender	Female
Speciality	Physician Assistant
Location	1041 Montgomery Street, Custer, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1326028937
Provider Enumeration Date: 01/19/2006
Last Update Date: 01/23/2013

Medical Identifiers

Medical identifiers for Gloria D Walz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326028937	NPI	-	NPPES
970015058	Other		MEDICARE RAILROAD PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0270 (South Dakota)	Primary

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. Gloria D Walz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gloria D Walz, CNP 353 Fairmont Blvd, Atten Mss, Rapid City, SD 57701-7375 Ph: () -	Gloria D Walz, CNP 1041 Montgomery Street, Custer, SD 57730-1304 Ph: (605) 673-4150

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Physician Assistant Nurses in Custer, SD

Mrs. Amanda Lee Taglioli, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1041 Montgomery Street, Custer, SD 57730
Phone: 605-673-4150 Fax: 605-673-3917

Gloria D Walz, CNP - Physician Assistant in Custer, SD