| Kevin Allen Yackley, CRNA | |
|
801 E Sioux Ave, Pierre, SD 57501 | |
| (605) 224-3100 | |
| Not Available |
| Full Name | Kevin Allen Yackley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 801 E Sioux Ave, Pierre, 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 |
|---|---|---|---|
| 1447553938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R49835 (North Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR001021 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faith Regional Health Services | Norfolk, NE | Hospital |
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera St Marys | 0143134965 | 82 |
| Faith Regional Physician Services Llc | 5193786168 | 166 |
| Entity Name | Prairie Lakes Health Care Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Allen Yackley, CRNA 601 S 9th St, Onida, SD 57564-2133 Ph: (605) 222-1912 | Kevin Allen Yackley, CRNA 801 E Sioux Ave, Pierre, SD 57501 Ph: (605) 224-3100 |
Kevin Daniel Roark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100 Fax: 605-224-8339 | |
Rita L Wendt, RNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E Dakota Ave, Pierre, SD 57501 Phone: 605-224-3407 Fax: 605-224-3443 | |
Erica Trebesch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100 | |
Christopher E Olson, RNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dakota Ave, Pierre, SD 57501 Phone: 605-224-3407 Fax: 605-224-3443 | |
Greg Jung, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mack Lane, Medical Associates Clinic,llp, Pierre, SD 57501 Phone: 605-224-5901 Fax: 605-945-5296 | |
Nick Paul Jung, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 |