Allergy / NPI / Pediatrics / Medical Specialties / Internal Medicine / Immunology / MEDICAL SERVICES / Medical Services South Dakota Medicaid RE / / /
IndustryTerm
eligible services / eligible primary care services / federal law / certain primary care services / care services / federal law.* / /
MedicalCondition
Allergy / /
Organization
American Board of Allergy and Immunology / American Board of Pediatrics / American Osteopathic Association / American Board of Internal Medicine / Immunology Board / South Dakota Division of Medical Services / American Board of Physician Specialties / Vaccine Administration / DEPARTMENT OF SOCIAL SERVICES DIVISION OF MEDICAL SERVICES / Medicare / /
Person
Practice Clinicians / Kirby Stone / / /
Position
care specialist / Director / Division / eligible physician / care physician / supervising/collaborating physician / supervising physician / certified nurse / Nurse / Physician / No. The supervising/collaborating physician / sub-specialist / physician assistant / nurse midwife / Director Division / /
Provider Self Attestation Form