| Midwest Wellness Institute, Pllc | |
|
4308 S Arway Dr Sioux Falls SD 57106-3131 | |
| (507) 337-0556 | |
| (507) 337-0567 |
| Full Name | Midwest Wellness Institute, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4308 S Arway Dr, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Kyle Korver (CEO, MIDWEST WELLNESS INSTITUTE) |
| Authorized Official Contact | 6055732000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Wellness Institute, Pllc 809 W Pipestone Ave Ste 8 Flandreau SD 57028 Ph: (507) 337-0556 | Midwest Wellness Institute, Pllc 4308 S Arway Dr Sioux Falls SD 57106-3131 Ph: (507) 337-0556 |
| NPI Number | 1851729552 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 06/07/2021 |
| Certification Date | 06/07/2021 |
| Medicare PECOS PAC ID | 3072743079 |
|---|---|
| Medicare Enrollment ID | O20140312001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851729552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7035 (South Dakota) | Primary |
| Provider Name | Robert Giebink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346271228 PECOS PAC ID: 0143224279 Enrollment ID: I20060905000045 |
| Provider Name | Clay J Pavlis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20070806000592 |
| Provider Name | Kristen N Winterringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568086064 PECOS PAC ID: 4486078854 Enrollment ID: I20200717000961 |
| Provider Name | Jennifer L Pipitone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518623545 PECOS PAC ID: 9436544715 Enrollment ID: I20220323002435 |
| Provider Name | Lacee Feltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396451555 PECOS PAC ID: 3476987330 Enrollment ID: I20230321001144 |
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