Sanford Health Lake Park Clinic - Medicare Primary Care in Lake Park, IA

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Sanford Health Lake Park Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Lake Park, Iowa. The current practice location for Sanford Health Lake Park Clinic is 215 N Market St, Suite 2, Lake Park, Iowa. For appointments, you can reach them via phone at (712) 832-9559. The mailing address for Sanford Health Lake Park Clinic is Po Box 5074, Sioux Falls, South Dakota and phone number is (605) 312-8854.

Sanford Health Lake Park Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134787930. 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 (712) 832-9559.

Contact Information

Sanford Health Lake Park Clinic
215 N Market St
Suite 2
Lake Park
IA 51347-7706
(712) 832-9559
(877) 368-6054

Map and Direction


Primary Care Clinic Profile

Full NameSanford Health Lake Park Clinic
SpecialityClinic/Center
Location215 N Market St, Lake Park, Iowa
Authorized Official Name and PositionTony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE)
Authorized Official Contact6053288380
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sanford Health Lake Park Clinic
Po Box 5074
Sioux Falls
SD 57117-5074

Ph: (605) 312-8854		Sanford Health Lake Park Clinic
215 N Market St
Suite 2
Lake Park
IA 51347-7706

Ph: (712) 832-9559

NPI Details:

NPI Number1134787930
Provider Enumeration Date06/05/2019
Last Update Date06/29/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6800707100
Medicare Enrollment IDO20040324000654

Medical Identifiers

Medical identifiers for Sanford Health Lake Park Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134787930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sanford Health Lake Park Clinic acts as a billing entity for following providers:
Provider NameAnn M Berens
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346241478
PECOS PAC ID: 5193624914
Enrollment ID: I20031231000199
Provider NameCraig P Mckay
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164528055
PECOS PAC ID: 8527098433
Enrollment ID: I20051014000025
Provider NameAmy M Badberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588746515
PECOS PAC ID: 4183723588
Enrollment ID: I20070626000603
Provider NameScott A Lichty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124129127
PECOS PAC ID: 9234239369
Enrollment ID: I20070703000095
Provider NameSara Zoelle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417039447
PECOS PAC ID: 4587764618
Enrollment ID: I20070703000106
Provider NameBrian D Lindaman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1912121229
PECOS PAC ID: 4183718315
Enrollment ID: I20070919000650
Provider NameBeta J Hamon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376553040
PECOS PAC ID: 8224026349
Enrollment ID: I20071219000004
Provider NameAimee J Plasier
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952580441
PECOS PAC ID: 0244310282
Enrollment ID: I20080103000533
Provider NameJacqueline D Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356307466
PECOS PAC ID: 7012079197
Enrollment ID: I20081224000268
Provider NameSally Jo Mcmahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073787255
PECOS PAC ID: 2365506243
Enrollment ID: I20090122000296
Provider NameRita Hogue
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285878777
PECOS PAC ID: 3678623295
Enrollment ID: I20090602000532
Provider NameKim N Hurtig
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972692663
PECOS PAC ID: 4284786682
Enrollment ID: I20090716000023
Provider NameRonald M Haan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861425753
PECOS PAC ID: 9537183165
Enrollment ID: I20090717000134
Provider NamePaul D Beninga
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760415640
PECOS PAC ID: 4880769751
Enrollment ID: I20090717000150
Provider NameMark R Dahlquist
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225044118
PECOS PAC ID: 3072529460
Enrollment ID: I20090721000587
Provider NameMichelle L Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912107426
PECOS PAC ID: 3678628740
Enrollment ID: I20090923000676
Provider NameJason A Chester
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356425805
PECOS PAC ID: 3072640846
Enrollment ID: I20100427000722
Provider NameWilliam R Jongewaard
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1336128453
PECOS PAC ID: 2365571221
Enrollment ID: I20100602000607
Provider NameJames M Donohue
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1598729550
PECOS PAC ID: 0244133882
Enrollment ID: I20100817001618
Provider NameDonna L Rosenboom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780756833
PECOS PAC ID: 3779731955
Enrollment ID: I20120912000813
Provider NameChristopher A Otto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083671705
PECOS PAC ID: 7517115744
Enrollment ID: I20120913000430
Provider NameKirk J Sneiderman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881967925
PECOS PAC ID: 9931357035
Enrollment ID: I20120914000320
Provider NameTeresa N Sampson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306918479
PECOS PAC ID: 4385895101
Enrollment ID: I20121102000505
Provider NameCathy S Hennies
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396749768
PECOS PAC ID: 0648291955
Enrollment ID: I20130208000443
Provider NameRyan J Becker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336431055
PECOS PAC ID: 6305089673
Enrollment ID: I20130905000712
Provider NameJosephine Dunn Junius
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174840656
PECOS PAC ID: 9133388242
Enrollment ID: I20131007001498
Provider NameJohn M Timmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609209543
PECOS PAC ID: 3870720246
Enrollment ID: I20131210000241
Provider NameKaren E Pennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588660203
PECOS PAC ID: 0244274215
Enrollment ID: I20141104001967
Provider NameAmy L. Wingert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912345992
PECOS PAC ID: 9739320474
Enrollment ID: I20141203002141
Provider NameStacey J Jumbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417024993
PECOS PAC ID: 9638266455
Enrollment ID: I20150410001405
Provider NameRobyn Mellang
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1891184255
PECOS PAC ID: 9234458852
Enrollment ID: I20150504001196
Provider NameGeri M Bunkers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770905580
PECOS PAC ID: 1153554092
Enrollment ID: I20151001002940
Provider NameKarissa A Getting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588034508
PECOS PAC ID: 2668773441
Enrollment ID: I20151221001442
Provider NameAmber Van Voorst
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134543580
PECOS PAC ID: 9638392012
Enrollment ID: I20160714002228
Provider NameKatlin J Van Peursem
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1215451877
PECOS PAC ID: 8527331750
Enrollment ID: I20170908002377
Provider NameJustin L Phelan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588181929
PECOS PAC ID: 3274891387
Enrollment ID: I20171219002223
Provider NameAmy M Waterman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104335496
PECOS PAC ID: 4385903640
Enrollment ID: I20180111001616
Provider NameJolene R Lucht
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922584036
PECOS PAC ID: 5890048847
Enrollment ID: I20181022002674
Provider NameMichael W Grevengoed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356837579
PECOS PAC ID: 1456695329
Enrollment ID: I20181204000268
Provider NameKeith E Begeman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780142372
PECOS PAC ID: 3072854454
Enrollment ID: I20190411002884
Provider NameNicholas A Vust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891348926
PECOS PAC ID: 1456788611
Enrollment ID: I20200227001819
Provider NameChase Hurtig
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740782242
PECOS PAC ID: 3971866815
Enrollment ID: I20200409001096
Provider NameHolly Marie Klink
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497255509
PECOS PAC ID: 6406101807
Enrollment ID: I20200419000090
Provider NameRachel Van Briesen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275124372
PECOS PAC ID: 0042610362
Enrollment ID: I20210608002663
Provider NameSamantha Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306599741
PECOS PAC ID: 8820481971
Enrollment ID: I20220212000202
Provider NameTamra Kristine Huff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194450379
PECOS PAC ID: 3072981422
Enrollment ID: I20221116002185
Provider NamePiet Koene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003549056
PECOS PAC ID: 6507234317
Enrollment ID: I20221129002817
Provider NameCynthia M Kantos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780023556
PECOS PAC ID: 0547674129
Enrollment ID: I20221202002851
Provider NameMinsi Sun
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1578288395
PECOS PAC ID: 0446624761
Enrollment ID: I20230328000131
Provider NameHaley Ranae Jungers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952026718
PECOS PAC ID: 1153786488
Enrollment ID: I20230420001392
Provider NameWyatt Myron Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881399491
PECOS PAC ID: 4183082100
Enrollment ID: I20230623002282
Provider NameSamantha Anne Smits
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821772278
PECOS PAC ID: 7012378367
Enrollment ID: I20230802002732
Provider NameJared Laverne Harwood
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1942393954
PECOS PAC ID: 7113161225
Enrollment ID: I20240118003556
Provider NameMegan Rens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578248548
PECOS PAC ID: 1456795517
Enrollment ID: I20240216000239

Reviews and Comments


Clinic/Center in Lake Park, IA


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.