Tia Kay Hetland, PA-C | |
601 E 7th St, Suite 3, Platte, SD 57369-2123 | |
(605) 337-3364 | |
(605) 337-3360 |
Full Name | Tia Kay Hetland |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 601 E 7th St, Platte, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649613076 | NPI | - | NPPES |
S107304 | Other | SD | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 0862 (South Dakota) | Primary |
Entity Name | Platte Community Memorial Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1235133109 PECOS PAC ID: 6507770054 Enrollment ID: O20101018000651 |
Mailing Address | Practice Location Address |
---|---|
Tia Kay Hetland, PA-C Po Box 818, Platte, SD 57369-0818 Ph: (605) 337-3364 | Tia Kay Hetland, PA-C 601 E 7th St, Suite 3, Platte, SD 57369-2123 Ph: (605) 337-3364 |
Rick Stoltenburg, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 E 7th St, Platte, SD 57369 Phone: 605-337-3364 Fax: 605-337-2670 | |
Mr. Jeffrey Lee Konstanz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 E 7th St, Platte, SD 57369 Phone: 605-337-1502 Fax: 605-337-3360 | |
Mrs. Pamela Ann Veurink, PA-C, NP, RN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 E 7th St, Ste 3, Platte, SD 57369 Phone: 605-337-1503 Fax: 605-337-3360 |