Mr Lucio N Margallo Ii, MD | |
1115 E 5th Ave, Mitchell, SD 57301-2917 | |
(605) 996-5553 | |
(605) 996-1213 |
Full Name | Mr Lucio N Margallo Ii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 54 Years |
Location | 1115 E 5th Ave, Mitchell, 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 |
---|---|---|---|
1639271034 | NPI | - | NPPES |
6000720 | Medicaid | SD | |
460273800 | Other | TAX ID | |
4602738000000E | Other | COMMERCIAL NUMBER ON COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2266 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera At Home | Mitchell, SD | Home health agency |
Avera At Home | Mitchell, SD | Hospice |
Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
Firesteel Healthcare Center | Mitchell, SD | Nursing home |
Avera Brady Health And Rehab | Mitchell, SD | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rural Health Care Inc | 3476447541 | 133 |
Avera Queen Of Peace | 9335050806 | 89 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
Entity Name | Rural Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076441 PECOS PAC ID: 3476447541 Enrollment ID: O20040210000648 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
Mailing Address | Practice Location Address |
---|---|
Mr Lucio N Margallo Ii, MD 1115 E 5th Ave, Mitchell, SD 57301-2917 Ph: (605) 996-5553 | Mr Lucio N Margallo Ii, MD 1115 E 5th Ave, Mitchell, SD 57301-2917 Ph: (605) 996-5553 |
Derek J Ferrie, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highland Way, Ste K, Mitchell, SD 57301 Phone: 605-996-0400 Fax: 605-996-0401 | |
David T Malters, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 N Kimball St, Suite 800, Mitchell, SD 57301 Phone: 605-996-4406 Fax: 605-996-4419 | |
Dr. Jonathan Caceres Olegario, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 W 6th Ave, Mitchell, SD 57301 Phone: 605-996-9141 Fax: 605-996-9194 | |
Kassidy Boyd, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000 | |
Patricia B Malters, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 N Kimball, Ste 800, Mitchell, SD 57301 Phone: 605-996-4406 Fax: 605-996-4419 |