Burke Medical Clinic | |
814 Jackson St Burke SD 57523-0358 | |
(605) 775-2631 | |
(605) 775-2631 |
Full Name | Burke Medical Clinic |
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Speciality | Clinic/Center |
Location | 814 Jackson St, Burke, South Dakota |
Authorized Official Name and Position | Mistie Drey (CEO) |
Authorized Official Contact | 6057752621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Burke Medical Clinic 814 Jackson St Burke SD 57523-0358 Ph: (605) 775-2631 | Burke Medical Clinic 814 Jackson St Burke SD 57523-0358 Ph: (605) 775-2631 |
NPI Number | 1447293196 |
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Provider Enumeration Date | 06/13/2006 |
Last Update Date | 10/25/2022 |
Medicare PECOS PAC ID | 2163317900 |
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Medicare Enrollment ID | O20040219000507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447293196 | NPI | - | NPPES |
5306722 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
Provider Name | Alvin H Schmitt |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1376660274 PECOS PAC ID: 4880652445 Enrollment ID: I20041229000332 |
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 | Travis M Sanger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922054378 PECOS PAC ID: 9032127881 Enrollment ID: I20060405000246 |
Provider Name | Amy S Juracek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790732600 PECOS PAC ID: 6901819101 Enrollment ID: I20060710000132 |
Provider Name | Dawn Gay Nahrstedt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356451439 PECOS PAC ID: 0042313389 Enrollment ID: I20070307000288 |
Provider Name | Tony L Berg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053492827 PECOS PAC ID: 3173415577 Enrollment ID: I20080225000284 |
Provider Name | Debra K Leibel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356347496 PECOS PAC ID: 7315019965 Enrollment ID: I20100903000971 |
Provider Name | Rebecca J Olson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013203603 PECOS PAC ID: 5991975286 Enrollment ID: I20110824000055 |
Provider Name | Darcie L Schmidt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467729731 PECOS PAC ID: 0042478059 Enrollment ID: I20120222000547 |
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 | Melody J Otte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649686080 PECOS PAC ID: 0941428445 Enrollment ID: I20140825002721 |
Provider Name | Megan Marie Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568754216 PECOS PAC ID: 5496984767 Enrollment ID: I20141002001569 |
Provider Name | Jill M Moser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144731860 PECOS PAC ID: 0547528077 Enrollment ID: I20171211001339 |
Provider Name | Desiree Lynn Hilborn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578184693 PECOS PAC ID: 5597186403 Enrollment ID: I20200910000641 |
Provider Name | Brittney Korthals |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003581141 PECOS PAC ID: 4789089145 Enrollment ID: I20210823002541 |
Provider Name | Spencer Arment |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295477495 PECOS PAC ID: 7214324516 Enrollment ID: I20220504001889 |