Avera Medical Group Gettysburg | |
606 E Garfield Ave Ste C Gettysburg SD 57442-1325 | |
(605) 765-2273 | |
Not Available |
Full Name | Avera Medical Group Gettysburg |
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Speciality | Internal Medicine |
Location | 606 E Garfield Ave Ste C, Gettysburg, South Dakota |
Authorized Official Name and Position | Shantel Krebs (INTERIM CEO) |
Authorized Official Contact | 6052243144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avera Medical Group Gettysburg Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera Medical Group Gettysburg 606 E Garfield Ave Ste C Gettysburg SD 57442-1325 Ph: (605) 765-2273 |
NPI Number | 1366091357 |
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Provider Enumeration Date | 09/11/2019 |
Last Update Date | 04/24/2023 |
Medicare PECOS PAC ID | 4284619362 |
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Medicare Enrollment ID | O20191025000756 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366091357 | NPI | - | NPPES |
Provider Name | Vincent E Furrey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053365445 PECOS PAC ID: 8426038639 Enrollment ID: I20040902001402 |
Provider Name | Darrell W Plumage |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013938844 PECOS PAC ID: 1254380728 Enrollment ID: I20050121000748 |
Provider Name | Rena J Robbennolt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851370746 PECOS PAC ID: 4486695053 Enrollment ID: I20050513000720 |
Provider Name | Eldon R Becker |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023083797 PECOS PAC ID: 3779576434 Enrollment ID: I20050919001010 |
Provider Name | Brent J Lindbloom |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700851011 PECOS PAC ID: 4587657275 Enrollment ID: I20050919001027 |
Provider Name | Debra Webb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285611616 PECOS PAC ID: 3173587342 Enrollment ID: I20051116000669 |
Provider Name | Kasey J Hanson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346246493 PECOS PAC ID: 3779565593 Enrollment ID: I20060113000097 |
Provider Name | Chad E Stapp |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1952438996 PECOS PAC ID: 7113024340 Enrollment ID: I20070523000147 |
Provider Name | Shawna M Schmidt |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1770603888 PECOS PAC ID: 7214023639 Enrollment ID: I20071017000337 |
Provider Name | Chad J Carda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013139823 PECOS PAC ID: 3375637671 Enrollment ID: I20080821000093 |
Provider Name | Darci J Harper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568436236 PECOS PAC ID: 3375619893 Enrollment ID: I20080908000370 |
Provider Name | Michael David Hibbard |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1629026422 PECOS PAC ID: 0244247377 Enrollment ID: I20100105000005 |
Provider Name | Christopher J Paa |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1265486138 PECOS PAC ID: 5294894556 Enrollment ID: I20100330000100 |
Provider Name | Raymond H Allen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396733705 PECOS PAC ID: 8729095856 Enrollment ID: I20101008000292 |
Provider Name | Erin Ann Tobin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235430042 PECOS PAC ID: 9931395654 Enrollment ID: I20130510000311 |
Provider Name | Connie M Belford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588095038 PECOS PAC ID: 2466676762 Enrollment ID: I20140606000054 |
Provider Name | Warren E Shaulis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497160436 PECOS PAC ID: 1759608243 Enrollment ID: I20150320002037 |
Provider Name | Meghan J Torgerson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134584584 PECOS PAC ID: 8628367471 Enrollment ID: I20160517002218 |
Provider Name | Teresa L Mead-hahn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013452325 PECOS PAC ID: 4486931383 Enrollment ID: I20170502001392 |
Provider Name | Jenna L Wickersham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538579271 PECOS PAC ID: 5799905345 Enrollment ID: I20180201002720 |
Provider Name | Jada A Rausch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578028981 PECOS PAC ID: 9537401393 Enrollment ID: I20190425002460 |
Provider Name | Thomas M Waterbury |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1225392160 PECOS PAC ID: 2062658909 Enrollment ID: I20190715001786 |
Provider Name | Daylon D Wigart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134682933 PECOS PAC ID: 8729318738 Enrollment ID: I20190917004077 |
Provider Name | Lucinda K Doyle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558593954 PECOS PAC ID: 5294154753 Enrollment ID: I20201001002641 |
Provider Name | Adam David Glanzer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932763141 PECOS PAC ID: 4385055441 Enrollment ID: I20201120000324 |
Provider Name | Shelby Lemler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942898739 PECOS PAC ID: 0547675795 Enrollment ID: I20210219001962 |
Provider Name | Sarah K Brezina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114692001 PECOS PAC ID: 1951709161 Enrollment ID: I20211001001179 |
Provider Name | Alyssa J Kahler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598416653 PECOS PAC ID: 0345633673 Enrollment ID: I20220209002814 |
Provider Name | Jonathan J Werner |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619474228 PECOS PAC ID: 5294082996 Enrollment ID: I20220930000937 |
Provider Name | Jalen J Lamb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487235008 PECOS PAC ID: 1557767746 Enrollment ID: I20230215000917 |
Community Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 E Garfield Ave, Gettysburg, SD 57442 Phone: 605-765-2273 Fax: 605-765-2273 |