Gary E Mentzel, PT | |
2100 North Kimball, Mitchell, SD 57301 | |
(605) 996-8712 | |
(605) 996-7513 |
Full Name | Gary E Mentzel |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2100 North Kimball, Mitchell, 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 |
---|---|---|---|
1891764809 | NPI | - | NPPES |
5832794 | Medicaid | SD | |
4994547 | Other | BXBS OF SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 989 (South Dakota) | Primary |
Provider Name | Avera Queen Of Peace |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
Mailing Address | Practice Location Address |
---|---|
Gary E Mentzel, PT 2100 North Kimball, Mitchell, SD 57301 Ph: (605) 996-8712 | Gary E Mentzel, PT 2100 North Kimball, Mitchell, SD 57301 Ph: (605) 996-8712 |
Ryan James Mentele, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1319 W Havens Ave, Mitchell, SD 57301 Phone: 605-996-4778 Fax: 605-996-3660 | |
John Thomas Lynch, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2100 N Kimball St, Mitchell, SD 57301 Phone: 605-996-8712 | |
Kayla Jo Tolsma, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 910 S Edgerton St, Mitchell, SD 57301 Phone: 605-996-4778 Fax: 605-996-3660 | |
Mr. Jeffrey Lee, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 N Main St, Mitchell, SD 57301 Phone: 605-996-4552 Fax: 605-996-0577 | |
Ann Girard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 S Ohlman St, Mitchell, SD 57301 Phone: 605-995-6477 | |
Matthew Alvin Bosma, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 910 S Edgerton, Mitchell, SD 57301 Phone: 605-996-4778 Fax: 605-996-3660 | |
Craig L Magee, Physical Therapist Medicare: Medicare Enrolled Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 |