| Avera Aberdeen Family Physicians | |
|
105 S State St Ste 113 Aberdeen SD 57401-4502 | |
| (605) 225-0378 | |
| (605) 225-7919 |
| Full Name | Avera Aberdeen Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 105 S State St Ste 113, Aberdeen, South Dakota |
| Authorized Official Name and Position | Daniel J Bjerknes (PRESIDENT/CEO) |
| Authorized Official Contact | 6056225125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Aberdeen Family Physicians Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera Aberdeen Family Physicians 105 S State St Ste 113 Aberdeen SD 57401-4502 Ph: (605) 225-0378 |
| NPI Number | 1013143296 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 6406764927 |
|---|---|
| Medicare Enrollment ID | O20110405001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013143296 | NPI | - | NPPES |
| 1451164 | Medicaid | ND | |
| 1000187 | Medicaid | SD | |
| 9278116 | Other | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10525 (South Dakota) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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