Platte Medical Clinic | |
601 E 7th St Ste 3 Platte SD 57369-2123 | |
(605) 337-3364 | |
(605) 337-3360 |
Full Name | Platte Medical Clinic |
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Speciality | Clinic/Center |
Location | 601 E 7th St, Platte, South Dakota |
Authorized Official Name and Position | Mark Alan Burket (CEO) |
Authorized Official Contact | 6053373364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Platte Medical Clinic Po Box 818 Platte SD 57369-0818 Ph: (605) 337-3364 | Platte Medical Clinic 601 E 7th St Ste 3 Platte SD 57369-2123 Ph: (605) 337-3364 |
NPI Number | 1629072400 |
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Provider Enumeration Date | 06/09/2005 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 6507770054 |
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Medicare Enrollment ID | O20061018000130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629072400 | NPI | - | NPPES |
5340300 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
Provider Name | Jerome Bentz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649274986 PECOS PAC ID: 7618881152 Enrollment ID: I20051201000152 |
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 | Dustin C Randall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982967451 PECOS PAC ID: 2466608138 Enrollment ID: I20120813000140 |
Provider Name | Nelson G Batoon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689831547 PECOS PAC ID: 9739337114 Enrollment ID: I20120910000114 |
Provider Name | Stephanie M Leader |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184050437 PECOS PAC ID: 4981830098 Enrollment ID: I20140303001831 |
Provider Name | Jessica M Vanderham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285143891 PECOS PAC ID: 5991071409 Enrollment ID: I20171030000585 |
Provider Name | Nakayla L Burnham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467937136 PECOS PAC ID: 6608113618 Enrollment ID: I20190129003654 |
Provider Name | April Marie Veurink |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154997880 PECOS PAC ID: 6103228077 Enrollment ID: I20210714003184 |
Provider Name | Hau Van Tran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164874368 PECOS PAC ID: 7012201023 Enrollment ID: I20220929000592 |
Provider Name | Dana Sue Perry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962129189 PECOS PAC ID: 4486022092 Enrollment ID: I20221201000960 |
Platte Medical Clinic Avera Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 7th St, Platte, SD 57369 Phone: 605-337-3364 Fax: 605-337-3360 |