Dr Colette A Ducheneaux, MD | |
1309 10th Ave W, Mobridge, SD 57601-1146 | |
(605) 845-3692 | |
(605) 845-8252 |
Full Name | Dr Colette A Ducheneaux |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1309 10th Ave W, Mobridge, 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 |
---|---|---|---|
1417910373 | NPI | - | NPPES |
1417910373 | Medicaid | SD | |
5549050 | Medicaid | SD | |
8611820 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5075 (South Dakota) | Primary |
207Q00000X | Family Medicine | 9037 (North Dakota) | Secondary |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Entity Name | Mobridge Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871554311 PECOS PAC ID: 6507776135 Enrollment ID: O20040130000772 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Entity Name | Bowdle Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1669418877 PECOS PAC ID: 9335056902 Enrollment ID: O20070208000330 |
Mailing Address | Practice Location Address |
---|---|
Dr Colette A Ducheneaux, MD 1309 10th Ave W, Mobridge, SD 57601-1146 Ph: (605) 845-3692 | Dr Colette A Ducheneaux, MD 1309 10th Ave W, Mobridge, SD 57601-1146 Ph: (605) 845-3692 |
Robert C Marciano, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1309 10th Ave W, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8252 | |
Emily Boden, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1309 10th Ave W, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8239 |