Sarah Rodolph, DNP - Medicare Nurse Practitioner in Custer, SD

Sarah Rodolph, DNP is a medicare enrolled "Nurse Practitioner - Family" in Custer, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Monument Health Rapid City Hospital, Inc. and her current practice location is 1041 Montgomery St, Custer, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 673-9400.

Sarah Rodolph is licensed to practice in South Dakota (license number CP001360) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902393192.

Contact Information

Sarah Rodolph, DNP
1041 Montgomery St,
Custer, SD 57730-1304
(605) 673-9400
Not Available



Provider's Profile

Full NameSarah Rodolph
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1041 Montgomery St, Custer, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sarah Rodolph graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1902393192
  • Provider Enumeration Date: 04/13/2018
  • Last Update Date: 04/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8820343601
  • Enrollment ID: I20180619002214

Medical Identifiers

Medical identifiers for Sarah Rodolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902393192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP001360 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monument Health Rapid City HospitalRapid city, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monument Health Rapid City Hospital, Inc.6002729506424

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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. Sarah Rodolph allows following entities to bill medicare on her behalf.
Entity NameMonument Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588185268
PECOS PAC ID: 5991616427
Enrollment ID: O20031111000854

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Entity NameMonument Health Rapid City Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144

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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. Sarah Rodolph 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
Sarah Rodolph, DNP
1041 Montgomery St,
Custer, SD 57730-1304

Ph: () -
Sarah Rodolph, DNP
1041 Montgomery St,
Custer, SD 57730-1304

Ph: (605) 673-9400

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Nurse Practitioner Nurses in Custer, SD

Patricia Lynn Annetts, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1065 Montgomery St, Custer, SD 57730
Phone: 605-673-2237    Fax: 605-673-3593
Jeanette L Hoffman, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1041 Montgomery St, Custer, SD 57730
Phone: 605-673-4150    

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