Melvin Wallinga, MD | |
410 West 16th Ave, Tyndall, SD 57066-0027 | |
(605) 589-3341 | |
(605) 589-3288 |
Full Name | Melvin Wallinga |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 410 West 16th Ave, Tyndall, 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 |
---|---|---|---|
1053355669 | NPI | - | NPPES |
5601810 | Medicaid | SD | |
9205043 | Other | SD | DAKOTACARE |
4996770 | Other | SD | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5033 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera At Home | Yankton, SD | Home health agency |
St Michael's Hospital - Cah | Tyndall, SD | Hospital |
Good Samaritan Society Tyndall | Tyndall, SD | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Michael's Hospital, Inc. | 2668380262 | 8 |
Entity Name | St Michael's Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467496158 PECOS PAC ID: 2668380262 Enrollment ID: O20081010000300 |
Mailing Address | Practice Location Address |
---|---|
Melvin Wallinga, MD Bon Homme Family Practice, 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2190 | Melvin Wallinga, MD 410 West 16th Ave, Tyndall, SD 57066-0027 Ph: (605) 589-3341 |
Karl S Demarco, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-2100 Fax: 605-589-2115 | |
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 |