Jacqualine L Dohrmann, CRNA - Nurse Anesthetist, Certified Registered in Edgemont, SD

Jacqualine L Dohrmann, CRNA is a Nurse Anesthetist, Certified Registered based in Edgemont, South Dakota. Jacqualine L Dohrmann is licensed to practice in South Dakota (license number R032057-0492) and her current practice location is 25674 Dewey Rd, Edgemont, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 749-2308.

NPI number for Jacqualine L Dohrmann is 1043281819 and her current mailing address is 25674 Dewey Rd, Edgemont, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043281819.

Contact Information

Jacqualine L Dohrmann, CRNA
25674 Dewey Rd,
Edgemont, SD 57735-7004
(605) 749-2308
Not Available



Provider's Profile

Full NameJacqualine L Dohrmann
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location25674 Dewey Rd, Edgemont, South Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043281819
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jacqualine L Dohrmann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043281819NPI-NPPES
84005UOtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 560951 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered R032057-0492 (South Dakota)Primary
367500000XNurse Anesthetist, Certified Registered 20192.259 (Wyoming)Secondary
367500000XNurse Anesthetist, Certified Registered 100820 (Nebraska)Secondary
367500000XNurse Anesthetist, Certified Registered C01057 (Arkansas)Secondary
367500000XNurse Anesthetist, Certified Registered RNA-617 (Idaho)Secondary
367500000XNurse Anesthetist, Certified Registered R27793 (New Mexico)Secondary
367500000XNurse Anesthetist, Certified Registered 23817 (Kansas)Secondary

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. Jacqualine L Dohrmann 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 AddressPractice Location Address
Jacqualine L Dohrmann, CRNA
25674 Dewey Rd,
Edgemont, SD 57735-7004

Ph: (605) 749-2308
Jacqualine L Dohrmann, CRNA
25674 Dewey Rd,
Edgemont, SD 57735-7004

Ph: (605) 749-2308

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Nurse Anesthetist, Certified Registered Nurses in Edgemont, SD


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