| Modern Day Health Care Prof Llc | |
|
1206 S Main St Aberdeen SD 57401-7071 | |
| (605) 250-1200 | |
| (605) 250-0999 |
| Full Name | Modern Day Health Care Prof Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1206 S Main St, Aberdeen, South Dakota |
| Authorized Official Name and Position | Deanne Donaway (CEO) |
| Authorized Official Contact | 6052145762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Day Health Care Prof Llc 2501 S Louise Ave Unit 90332 Sioux Falls SD 57109-4669 Ph: (605) 250-1200 | Modern Day Health Care Prof Llc 1206 S Main St Aberdeen SD 57401-7071 Ph: (605) 250-1200 |
| NPI Number | 1851883540 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 8325473507 |
|---|---|
| Medicare Enrollment ID | O20200116000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851883540 | NPI | - | NPPES |
| Provider Name | Angela K Gaikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275788960 PECOS PAC ID: 9032339510 Enrollment ID: I20141006000093 |
| Provider Name | Jenna Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942792411 PECOS PAC ID: 3173856317 Enrollment ID: I20190605000715 |
| Provider Name | Amanda Marie Sneed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932722840 PECOS PAC ID: 2163847252 Enrollment ID: I20200806001932 |
| Provider Name | Lindsay D Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518575174 PECOS PAC ID: 1355769621 Enrollment ID: I20200918000292 |
| Provider Name | Mark R Hager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952397499 PECOS PAC ID: 7911192745 Enrollment ID: I20210127002724 |
| Provider Name | Kelcey Geditz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710570148 PECOS PAC ID: 7911314703 Enrollment ID: I20210323000648 |
| Provider Name | Jocelyn Reints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114383262 PECOS PAC ID: 1850798166 Enrollment ID: I20210928003384 |
| Provider Name | Jenny A Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457893604 PECOS PAC ID: 2264830405 Enrollment ID: I20211001002164 |
| Provider Name | Jamie Forrest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669141180 PECOS PAC ID: 1850799826 Enrollment ID: I20211005001856 |
| Provider Name | Jennifer Gustafson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578717112 PECOS PAC ID: 3173832870 Enrollment ID: I20221108002174 |
| Provider Name | Contessa Marie Windeshausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558134551 PECOS PAC ID: 3971954678 Enrollment ID: I20240108000071 |
| Provider Name | Margaret Courtney Harlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407627722 PECOS PAC ID: 5092158451 Enrollment ID: I20240213002342 |
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