Avera Medical Group Revillo - Medicare Primary Care in Revillo, SD

  1. Home
  2. Primary Care Clinics
  3. SD
  4. Revillo
Avera Medical Group Revillo is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Revillo, South Dakota. The current practice location for Avera Medical Group Revillo is 305 N 2nd Ave, Revillo, South Dakota. For appointments, you can reach them via phone at (605) 623-4695. The mailing address for Avera Medical Group Revillo is 901 E Virgil Ave, Milbank, South Dakota and phone number is (605) 432-4538.

Avera Medical Group Revillo is licensed to practice in South Dakota (license number ). The clinic also participates in the medicare program and its NPI number is 1588677892. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (605) 623-4695.

Contact Information

Avera Medical Group Revillo
305 N 2nd Ave
Revillo
SD 57259-0006
(605) 623-4695
(605) 623-4318

Map and Direction


Primary Care Clinic Profile

Full NameAvera Medical Group Revillo
SpecialityClinic/Center
Location305 N 2nd Ave, Revillo, South Dakota
Authorized Official Name and PositionDavid Flicek (PRESIDENT/CEO)
Authorized Official Contact6053227915
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avera Medical Group Revillo
901 E Virgil Ave
Milbank
SD 57252-2124

Ph: (605) 432-4538		Avera Medical Group Revillo
305 N 2nd Ave
Revillo
SD 57259-0006

Ph: (605) 623-4695

NPI Details:

NPI Number1588677892
Provider Enumeration Date08/15/2006
Last Update Date07/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0345157103
Medicare Enrollment IDO20020918000017

Medical Identifiers

Medical identifiers for Avera Medical Group Revillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588677892NPI-NPPES
4996359OtherSDSD BLUE CROSS-REVILLO P#
246933200MedicaidMN
9204609OtherSDDAKOTACARE REVILLO PROV#
228L6REOtherMNMN BLUE CROSS-REVILLO P#
5800490MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (South Dakota)Primary

Reviews and Comments


Clinic/Center in Revillo, SD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.