Physician Management Services Of South Dakota, Llc | |
7600 S Minnesota Ave Sioux Falls SD 57108-2985 | |
(888) 829-8550 | |
Not Available |
Full Name | Physician Management Services Of South Dakota, Llc |
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Speciality | Family Medicine |
Location | 7600 S Minnesota Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
Authorized Official Contact | 8888298550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician Management Services Of South Dakota, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of South Dakota, Llc 7600 S Minnesota Ave Sioux Falls SD 57108-2985 Ph: (888) 829-8550 |
NPI Number | 1295442986 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 11/01/2022 |
Medicare PECOS PAC ID | 5799147328 |
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Medicare Enrollment ID | O20230815000772 |
Identifier | Type | State | Issuer |
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1295442986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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