Dr Nathan Andrew Bockholt, MD | |
201 W 69th St, Sioux Falls, SD 57108-2403 | |
(605) 336-0635 | |
(605) 271-0543 |
Full Name | Dr Nathan Andrew Bockholt |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 16 Years |
Location | 201 W 69th St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295901460 | NPI | - | NPPES |
1295901460 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 9520 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Huron Regional Medical Center | Huron, SD | Hospital |
Sanford Usd Medical Center | Sioux falls, SD | Hospital |
Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
Sioux Falls Specialty Hospital | Sioux falls, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Huron Regional Medical Center Inc | 2769393388 | 18 |
Urology Specialists Chartered | 9234031329 | 41 |
Entity Name | Urology Specialists Chartered |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881647246 PECOS PAC ID: 9234031329 Enrollment ID: O20040121000003 |
Entity Name | Huron Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
Entity Name | Monument Health Rapid City Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathan Andrew Bockholt, MD 201 W 69th St, Sioux Falls, SD 57108-2403 Ph: (605) 336-0635 | Dr Nathan Andrew Bockholt, MD 201 W 69th St, Sioux Falls, SD 57108-2403 Ph: (605) 336-0635 |
Darlys R Hofer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-336-7182 | |
Dr. Dennis Thum, Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Eugene S Park, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th Street, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Dr. Matthew Daniel Larson, MD Urology Medicare: Medicare Enrolled Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 | |
Robert C Johnson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105 Phone: 605-336-0635 Fax: 605-336-7182 | |
David E Rosinsky, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-336-7182 |