Avera Medical Group Internal Medicine Aberdeen - Medicare in Aberdeen, SD

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Avera Medical Group Internal Medicine Aberdeen is a medicare enrolled "Internal Medicine" provider in Aberdeen, South Dakota. Their current practice location is 105 S State St Ste 201, Aberdeen, South Dakota. You can reach out to their office (for appointments etc.) via phone at (605) 622-5458.

Avera Medical Group Internal Medicine Aberdeen is licensed to practice in South Dakota (license number 10525) and it also participates in the medicare program. Avera Medical Group Internal Medicine Aberdeen is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215100813.

Contact Information

Avera Medical Group Internal Medicine Aberdeen
105 S State St Ste 201,
Aberdeen, SD 57401-4502
(605) 622-5458
(605) 622-5473

Map and Direction




Healthcare Provider's Profile

Full NameAvera Medical Group Internal Medicine Aberdeen
TypeFacility
SpecialityInternal Medicine
Location105 S State St Ste 201, Aberdeen, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215100813
  • Provider Enumeration Date: 04/04/2008
  • Last Update Date: 05/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406764927
  • Enrollment ID: O20040120000912

Medical Identifiers

Medical identifiers for Avera Medical Group Internal Medicine Aberdeen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215100813NPI-NPPES
14713MedicaidND
9257818OtherSDDAKOTACARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 10525 (South Dakota)Secondary
207R00000XInternal Medicine 10525 (South Dakota)Primary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Avera Medical Group Internal Medicine Aberdeen acts as a billing entity for following providers:
Provider NameLeslie H Lenter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245274109
PECOS PAC ID: 6406741081
Enrollment ID: I20040220001111
Provider NameMatthew B Stanley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689646168
PECOS PAC ID: 8426946070
Enrollment ID: I20040305001136
Provider NameLee B Bailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659315117
PECOS PAC ID: 2860380300
Enrollment ID: I20040309000479
Provider NameSteven P Snow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831165158
PECOS PAC ID: 1254314271
Enrollment ID: I20040610001251
Provider NameRobert A Cihak
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528039765
PECOS PAC ID: 5698735322
Enrollment ID: I20041015000881
Provider NameRoger W Werth
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245216118
PECOS PAC ID: 9537141767
Enrollment ID: I20041022000645
Provider NameKristi R Johnson Eckrich
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598859365
PECOS PAC ID: 5193788321
Enrollment ID: I20041109000741
Provider NameRichard J Conklin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1851394662
PECOS PAC ID: 1254384035
Enrollment ID: I20050222000575
Provider NameArlin M Myrmoe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184893349
PECOS PAC ID: 2860448511
Enrollment ID: I20050324001082
Provider NameBrian L Devries
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225107055
PECOS PAC ID: 7012964026
Enrollment ID: I20050401000444
Provider NameKathleen L Schneekloth
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1891757290
PECOS PAC ID: 1153351622
Enrollment ID: I20050815000484
Provider NameDarren A Manthey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326059338
PECOS PAC ID: 0244281301
Enrollment ID: I20050823001009
Provider NameRyan D Kurtz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891889622
PECOS PAC ID: 0840204160
Enrollment ID: I20060125001019
Provider NameGregg W Carlson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043378912
PECOS PAC ID: 8325055379
Enrollment ID: I20060316000054
Provider NameTage E Born
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063596245
PECOS PAC ID: 2961419916
Enrollment ID: I20060316000108
Provider NameChristine A Stehly
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811085970
PECOS PAC ID: 6406863455
Enrollment ID: I20060316000127
Provider NameRick W Koehler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891728671
PECOS PAC ID: 7012911084
Enrollment ID: I20060905000532
Provider NameNona A Gab
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598848426
PECOS PAC ID: 8820072465
Enrollment ID: I20070102000084
Provider NameScott G Vankeulen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053359190
PECOS PAC ID: 5799746657
Enrollment ID: I20070131000349
Provider NameMichael Nesbit
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689785982
PECOS PAC ID: 1153323860
Enrollment ID: I20070209000167
Provider NameChad E Stapp
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1952438996
PECOS PAC ID: 7113024340
Enrollment ID: I20070523000147
Provider NameDaniel B Lewison
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104943620
PECOS PAC ID: 9830282946
Enrollment ID: I20070906000140
Provider NameAlisa L Hogue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093753956
PECOS PAC ID: 4880780485
Enrollment ID: I20071012000075
Provider NameRichard J Bartl
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316018906
PECOS PAC ID: 6608962204
Enrollment ID: I20071012000078
Provider NameShawna M Schmidt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770603888
PECOS PAC ID: 7214023639
Enrollment ID: I20071017000337
Provider NameLyle W Biegler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023057429
PECOS PAC ID: 3072522846
Enrollment ID: I20071030000193
Provider NameMichael J Knapp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215905518
PECOS PAC ID: 1153323308
Enrollment ID: I20071030000604
Provider NameEvelio D Garcia
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1669436200
PECOS PAC ID: 0244205029
Enrollment ID: I20071101000461
Provider NamePaul A Bormes
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1083675730
PECOS PAC ID: 5395823132
Enrollment ID: I20080421000187
Provider NameJohn A Berg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457321226
PECOS PAC ID: 9638183916
Enrollment ID: I20080507000292
Provider NameTricia L Marcuson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841470325
PECOS PAC ID: 5991879744
Enrollment ID: I20080729000087
Provider NameAshok K Mudundi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740287663
PECOS PAC ID: 8820027188
Enrollment ID: I20080811000709
Provider NameChristopher M Larson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1295990141
PECOS PAC ID: 2163598764
Enrollment ID: I20080905000152
Provider NameJames Richard Barnett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730174582
PECOS PAC ID: 2668536848
Enrollment ID: I20090203000384
Provider NamePatrick J Miller
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1144279555
PECOS PAC ID: 0244388163
Enrollment ID: I20090504000353
Provider NameMichael A Person
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1962439182
PECOS PAC ID: 7719988625
Enrollment ID: I20090709000773
Provider NameDavid M Wachs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457355281
PECOS PAC ID: 8729175450
Enrollment ID: I20090804000017
Provider NameMark P Mogen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578567319
PECOS PAC ID: 2466549191
Enrollment ID: I20090804000027
Provider NameJeffrey S Bock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649274481
PECOS PAC ID: 5092802728
Enrollment ID: I20090804000050
Provider NameRussell C Pietz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790789543
PECOS PAC ID: 9638266364
Enrollment ID: I20090804000065
Provider NameMichelle M Mccormick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972560761
PECOS PAC ID: 5698664928
Enrollment ID: I20091118000685
Provider NameRonald D Rovang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295794378
PECOS PAC ID: 4587705512
Enrollment ID: I20100112000733
Provider NameMatthew C Reynen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245236785
PECOS PAC ID: 0941212856
Enrollment ID: I20100127000230
Provider NameBradley D Orr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588669907
PECOS PAC ID: 8426186289
Enrollment ID: I20100514000710
Provider NameKelly M Brennan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083619522
PECOS PAC ID: 0042348807
Enrollment ID: I20100514000740
Provider NameCharles Eric Hanson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1992784383
PECOS PAC ID: 2567464514
Enrollment ID: I20100810000125
Provider NameJames B Macdougall
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235135823
PECOS PAC ID: 6204729320
Enrollment ID: I20100826001102
Provider NameDonald J Frisco
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1255337846
PECOS PAC ID: 1355349531
Enrollment ID: I20100917000710
Provider NameRichard Bruce Allen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1780663328
PECOS PAC ID: 0547260218
Enrollment ID: I20100921001158
Provider NameBenjamin C Aaker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811198278
PECOS PAC ID: 0042378432
Enrollment ID: I20110218000244
Provider NameFrank M Snyder
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518966241
PECOS PAC ID: 4688856545
Enrollment ID: I20110314000758
Provider NameAlex A Falk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366438814
PECOS PAC ID: 3274717079
Enrollment ID: I20110401000449
Provider NameJennifer L Timm
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225239569
PECOS PAC ID: 2769666445
Enrollment ID: I20110404000595
Provider NameTadd E Thorson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447589270
PECOS PAC ID: 4981889730
Enrollment ID: I20110421000406
Provider NameAnne Elizabeth Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073636213
PECOS PAC ID: 7911002662
Enrollment ID: I20110627000658
Provider NameZhi G. Zhang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417137647
PECOS PAC ID: 1254519085
Enrollment ID: I20110627000763
Provider NameBrandon S Fites
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1427077106
PECOS PAC ID: 9638172679
Enrollment ID: I20110721000224
Provider NameShanna Marie Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669769998
PECOS PAC ID: 4183894207
Enrollment ID: I20110829000573
Provider NameDaniel R Fritz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942425277
PECOS PAC ID: 1850561614
Enrollment ID: I20110903000007
Provider NameBari Elizabeth Fritz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1063715449
PECOS PAC ID: 4284818022
Enrollment ID: I20110914000392
Provider NameChristopher L Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720376825
PECOS PAC ID: 0446422257
Enrollment ID: I20111019000894
Provider NameKrista Birkelo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649435165
PECOS PAC ID: 2163695842
Enrollment ID: I20111025000002
Provider NameElizabeth Dimitrievich
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1003834995
PECOS PAC ID: 2860382272
Enrollment ID: I20111128000321
Provider NameSharon E Simon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235409426
PECOS PAC ID: 4880851310
Enrollment ID: I20120210000181
Provider NameGregory Allen English
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588831648
PECOS PAC ID: 6305982554
Enrollment ID: I20121228000109
Provider NameDarcie Tveidt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972841799
PECOS PAC ID: 1850546102
Enrollment ID: I20130312000561
Provider NameTaylor L Jenner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912244898
PECOS PAC ID: 9931344108
Enrollment ID: I20130319000177
Provider NameAdam J Lefebvre
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1578707717
PECOS PAC ID: 7911023981
Enrollment ID: I20130718000398
Provider NameAtchuytaramkumar Pachigolla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528388766
PECOS PAC ID: 4789825100
Enrollment ID: I20130729000187
Provider NameAnthony R Downs
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1942437538
PECOS PAC ID: 4183871247
Enrollment ID: I20130801000887
Provider NameAli Chaudhry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982929758
PECOS PAC ID: 6305070046
Enrollment ID: I20131011000132
Provider NameMaria E Jungemann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184069460
PECOS PAC ID: 0143456509
Enrollment ID: I20131113002230
Provider NameJonathan J Olson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881981561
PECOS PAC ID: 1759500192
Enrollment ID: I20140916002556
Provider NameGarret M Wobst
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1124376389
PECOS PAC ID: 0941448351
Enrollment ID: I20140930001072
Provider NameJulie A Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063857233
PECOS PAC ID: 0749401859
Enrollment ID: I20141014001904
Provider NameGeorge C Kiser
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1316935638
PECOS PAC ID: 1557369618
Enrollment ID: I20141105000353
Provider NameSusheel Gundewar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1639364581
PECOS PAC ID: 9739344615
Enrollment ID: I20141124001067
Provider NameTiffany J Bruckner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801201439
PECOS PAC ID: 2365765880
Enrollment ID: I20150107002509
Provider NameJill Leah Larsen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1992036701
PECOS PAC ID: 8820113962
Enrollment ID: I20150730013999
Provider NameDavid Ring
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1992017222
PECOS PAC ID: 0244472520
Enrollment ID: I20150811005994
Provider NameBlake Anthony Heinz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871869172
PECOS PAC ID: 9931414596
Enrollment ID: I20150812007020
Provider NameBrian J Rau
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225266562
PECOS PAC ID: 6002121167
Enrollment ID: I20150818005688
Provider NameJessica A Bierschbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790160570
PECOS PAC ID: 3375859507
Enrollment ID: I20150902000646
Provider NameAmy J Fedoruk
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1679725436
PECOS PAC ID: 3678881836
Enrollment ID: I20151007003092
Provider NameChristopher J Albrecht
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427436799
PECOS PAC ID: 1557679743
Enrollment ID: I20151008001104
Provider NameAnne E Falken
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1063664829
PECOS PAC ID: 6002124120
Enrollment ID: I20151008002345
Provider NameKristin M Houdek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902238330
PECOS PAC ID: 6608185368
Enrollment ID: I20151020000550
Provider NameJulie A Berry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629157714
PECOS PAC ID: 3274842950
Enrollment ID: I20151020001334
Provider NameChad A Falken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194110627
PECOS PAC ID: 8628387305
Enrollment ID: I20151020001358
Provider NameJason D Gauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003068941
PECOS PAC ID: 6406165182
Enrollment ID: I20151020001544
Provider NameLaura L Huber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548648413
PECOS PAC ID: 6305155086
Enrollment ID: I20151020001604
Provider NameMichelle L Haaland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417100611
PECOS PAC ID: 8022327709
Enrollment ID: I20151020001616
Provider NameHeather L Thorson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053564278
PECOS PAC ID: 5092024729
Enrollment ID: I20151021000452
Provider NameScott E Kram
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922308501
PECOS PAC ID: 2466761101
Enrollment ID: I20151021000844
Provider NameDerrick R Houdek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528446341
PECOS PAC ID: 2860701307
Enrollment ID: I20151022002199
Provider NameTonya J Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790163665
PECOS PAC ID: 5597074088
Enrollment ID: I20151023000913
Provider NameCarl Bot
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912392440
PECOS PAC ID: 4587973920
Enrollment ID: I20151026000766
Provider NameLaura S Anderson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659703668
PECOS PAC ID: 7517276710
Enrollment ID: I20151028001571
Provider NameSherry J Mcnulty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639322837
PECOS PAC ID: 6103136122
Enrollment ID: I20151103002839
Provider NameTara L Haarsma
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891015285
PECOS PAC ID: 8921228503
Enrollment ID: I20151105001660
Provider NameRalph D Fisk
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1922486802
PECOS PAC ID: 5799095345
Enrollment ID: I20151110002720
Provider NameJeri L Tieszen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508244336
PECOS PAC ID: 5597075168
Enrollment ID: I20151111000681
Provider NameDalita Lou Meyer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285888958
PECOS PAC ID: 1052621653
Enrollment ID: I20151111001504
Provider NameSusan E Gutenkauf
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851771133
PECOS PAC ID: 2769792100
Enrollment ID: I20151113002281
Provider NameTyler J Hanson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225416191
PECOS PAC ID: 4688974785
Enrollment ID: I20151120002582
Provider NameDaniel Shih
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1790721967
PECOS PAC ID: 7315919156
Enrollment ID: I20160202000197
Provider NameChrista Marie Weber
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245636406
PECOS PAC ID: 8820396641
Enrollment ID: I20160412001345
Provider NameBuckley D Norris
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1861870404
PECOS PAC ID: 9133427719
Enrollment ID: I20160414001786
Provider NameHossein Ghofrani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447576236
PECOS PAC ID: 6103134655
Enrollment ID: I20160622001343
Provider NameErica M Trebesch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104280296
PECOS PAC ID: 2668764416
Enrollment ID: I20160714001378
Provider NameMichelle L Krohn
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1255698767
PECOS PAC ID: 9436399458
Enrollment ID: I20160721000437
Provider NameEdwin F Weiler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1912262262
PECOS PAC ID: 1759391055
Enrollment ID: I20160817000855
Provider NameChelsea R Gomer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407309057
PECOS PAC ID: 5698062545
Enrollment ID: I20160921001352
Provider NameSandra M Frickson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114179157
PECOS PAC ID: 4183903909
Enrollment ID: I20161118002238
Provider NameAlicia Grace Floyd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033408505
PECOS PAC ID: 2567680713
Enrollment ID: I20170104001357
Provider NameEric John Malsam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134316060
PECOS PAC ID: 6204999873
Enrollment ID: I20170104001822
Provider NameMatthew R Lutjens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023568516
PECOS PAC ID: 6103107859
Enrollment ID: I20170111002592
Provider NameLawrence P Donley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982753489
PECOS PAC ID: 3870629058
Enrollment ID: I20170323001701
Provider NameMichael N Murphy
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1720081490
PECOS PAC ID: 6002889052
Enrollment ID: I20170330001409
Provider NameAndrew R Mortenson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1811230287
PECOS PAC ID: 0244462877
Enrollment ID: I20170831002929
Provider NameTyler C Gillen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447678891
PECOS PAC ID: 2860614419
Enrollment ID: I20170905002708
Provider NameSubasit Acharji
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225246358
PECOS PAC ID: 1456445717
Enrollment ID: I20170913003411
Provider NameAngela Marie Mackner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275058216
PECOS PAC ID: 0941567168
Enrollment ID: I20171127000787
Provider NameKristi Kae Hauck
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215432778
PECOS PAC ID: 3870857642
Enrollment ID: I20180502000793
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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. Avera Medical Group Internal Medicine Aberdeen 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
Avera Medical Group Internal Medicine Aberdeen
Po Box 86370,
Sioux Falls, SD 57118-6370

Ph: (605) 322-4933		Avera Medical Group Internal Medicine Aberdeen
105 S State St Ste 201,
Aberdeen, SD 57401-4502

Ph: (605) 622-5458

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.