Dawn M Larson, MD | |
1104 W 8th St, Yankton, SD 57078-3306 | |
(605) 665-7841 | |
(605) 665-0546 |
Full Name | Dawn M Larson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1104 W 8th St, Yankton, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497756142 | NPI | - | NPPES |
6701320 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4592 (South Dakota) | Primary |
Entity Name | Yankton Medical Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447251350 PECOS PAC ID: 1850208778 Enrollment ID: O20040317000630 |
Mailing Address | Practice Location Address |
---|---|
Dawn M Larson, MD 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 | Dawn M Larson, MD 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 |
Randolph W Heisinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
David W Withrow, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Carroll Isburg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Martha Holstein, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 | |
Dr. April Kay Willman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Sara Pepper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 |