Bobbi L Langbehn, PA-C
Individual provider Active NPI Physician Assistant · Rapid City, SD
NPI 1851364665 · NPPES record last updated Mar 3, 2017
Key facts
- NPI
- 1851364665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 576 (SD)
- Practice address
- 3615 5TH St
Suite 101
Rapid City, SD 57701-6014 - Phone
- (605) 343-7208
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041115000838 | SD | Practitioner - Physician Assistant | 0648234138 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 576 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Ipc Hospitalist Services of New York, P.C. | Past | Accepting new patients | |
| Regional Health Physicians Inc | Past | Accepting new patients |
Locations
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 576 | SD | Yes |
Addresses
Primary practice location
3615 5TH St
Suite 101
Rapid City, SD 57701-6014
Mailing address
PO Box 6020
Rapid City, SD 57709-6020
Phone (605) 343-7208
Other names
- Bobbi L Jacobsen
Other providers in Rapid City, SD
- Renee Landeen
- Gretchen L Landers
- Carlene Landguth
- Bonnie M Lang
- David H Lang
- Jane A Langbehn
- Kyle Lange
- Lisa Sue Lange
- Tyson Kurt Lange
- Sherry L Langstaff
All providers in Rapid City, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.