Kynan Charles Trail, MD | |
2525 Fox Run Pkwy, Suite 204, Yankton, SD 57078-5370 | |
(605) 668-9670 | |
(605) 668-0371 |
Full Name | Kynan Charles Trail |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 2525 Fox Run Pkwy, Yankton, 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 |
---|---|---|---|
1962452458 | NPI | - | NPPES |
46045455602 | Medicaid | NE | |
7301750 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4733 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Winona Health Services | Winona, MN | Hospital |
Douglas County Memorial Hospital-cah | Armour, SD | Hospital |
University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Range Regional Health Services | 8022920024 | 130 |
Winona Health Services | 8527977420 | 101 |
Entity Name | Range Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
Entity Name | Winona Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Mailing Address | Practice Location Address |
---|---|
Kynan Charles Trail, MD 2525 Fox Run Pkwy, Suite 204, Yankton, SD 57078-5370 Ph: (605) 668-9670 | Kynan Charles Trail, MD 2525 Fox Run Pkwy, Suite 204, Yankton, SD 57078-5370 Ph: (605) 668-9670 |
Mary J Milroy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Dr. Jesse L. Kampshoff, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Luke C Serck, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
John C Sternquist, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 | |
Ryan Joseph Garry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 Fax: 605-665-0546 |