Karl S Demarco, MD | |
410 W 16th Ave, Tyndall, SD 57066-2318 | |
(605) 589-2100 | |
(605) 589-2115 |
Full Name | Karl S Demarco |
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Gender | Male |
Speciality | Family Medicine |
Location | 410 W 16th Ave, Tyndall, 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 |
---|---|---|---|
1205483781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13975 (South Dakota) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Karl S Demarco, MD 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2100 | Karl S Demarco, MD 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2100 |
Melvin Wallinga, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 West 16th Ave, Tyndall, SD 57066 Phone: 605-589-3341 Fax: 605-589-3288 | |
Lori Ranek, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-4602 Fax: 605-589-3288 | |
Rock F. Boyd, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 16th Ave.w, Tyndall, SD 57066 Phone: 605-589-3341 Fax: 605-589-3288 |