| Yankton Medical Clinic Pc | |
|
1104 W 8th St Yankton SD 57078-3306 | |
| (605) 665-7841 | |
| (605) 665-0546 |
| Full Name | Yankton Medical Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1104 W 8th St, Yankton, South Dakota |
| Authorized Official Name and Position | Becky Mcmanus (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6056657841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yankton Medical Clinic Pc 1104 W 8th St Po Box 706 Yankton SD 57078-3306 Ph: (605) 665-7841 | Yankton Medical Clinic Pc 1104 W 8th St Yankton SD 57078-3306 Ph: (605) 665-7841 |
| NPI Number | 1447251350 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 1850208778 |
|---|---|
| Medicare Enrollment ID | O20040211000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447251350 | NPI | - | NPPES |
| CR0198 | Other | SD | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0002 (South Dakota) | Primary |
| Provider Name | David J Abbott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932136173 PECOS PAC ID: 7719880319 Enrollment ID: I20041013000719 |
| Provider Name | Michael P Pietila |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740254986 PECOS PAC ID: 6204738396 Enrollment ID: I20070521000543 |
| Provider Name | Erin Elizabeth Wolf |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245402171 PECOS PAC ID: 2264510817 Enrollment ID: I20080422000664 |
| Provider Name | Charles Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063620961 PECOS PAC ID: 6305919176 Enrollment ID: I20080728000105 |
| Provider Name | Beth Beeman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447278650 PECOS PAC ID: 8022014828 Enrollment ID: I20080912000183 |
| Provider Name | Mary Lee H Villanueva |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699857821 PECOS PAC ID: 1557456597 Enrollment ID: I20090129000639 |
| Provider Name | Christopher A Hathaway |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639392475 PECOS PAC ID: 3678697745 Enrollment ID: I20100927000206 |
| Provider Name | Luke C Serck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366641771 PECOS PAC ID: 9032200068 Enrollment ID: I20110302000215 |
| Provider Name | Kelly J Jueden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679868301 PECOS PAC ID: 4486832839 Enrollment ID: I20110707000160 |
| Provider Name | Kevin B Bray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932100914 PECOS PAC ID: 6002944303 Enrollment ID: I20111027000550 |
| Provider Name | Lori Hansen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235130030 PECOS PAC ID: 3678601978 Enrollment ID: I20111114000877 |
| Provider Name | Jesse Kampshoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366609745 PECOS PAC ID: 3173678075 Enrollment ID: I20130613000728 |
| Provider Name | Byron S Nielsen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316157928 PECOS PAC ID: 3870664469 Enrollment ID: I20130613000738 |
| Provider Name | Brent D Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093930521 PECOS PAC ID: 9537205273 Enrollment ID: I20140331000543 |
| Provider Name | Micah Marshall Likness |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124269162 PECOS PAC ID: 8628207792 Enrollment ID: I20150618000804 |
| Provider Name | Jason R Howe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992763320 PECOS PAC ID: 6305858432 Enrollment ID: I20190501001239 |
| Provider Name | Benjamin N Lacrosse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811375082 PECOS PAC ID: 9335444918 Enrollment ID: I20200622001547 |
| Provider Name | Leann Bassing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871784124 PECOS PAC ID: 9335395326 Enrollment ID: I20201020003597 |
| Provider Name | Ryan Garry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720241912 PECOS PAC ID: 5193974681 Enrollment ID: I20201116000729 |
| Provider Name | Will R Eidsness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093912636 PECOS PAC ID: 1254425630 Enrollment ID: I20210211002193 |
| Provider Name | Alan J Spanel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023508892 PECOS PAC ID: 6709136526 Enrollment ID: I20210810002547 |
| Provider Name | Robert G Nicholas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609221563 PECOS PAC ID: 7012200108 Enrollment ID: I20210811002825 |
| Provider Name | Brian J Kim |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437448081 PECOS PAC ID: 1153597026 Enrollment ID: I20220923000637 |
Yankton Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 920 Broadway Ave Ste 2, Yankton, SD 57078 Phone: 605-260-0310 | |
Allpoints Yankton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Summit St, Suite 3400, Yankton, SD 57078 Phone: 605-260-0310 | |
Lewis & Clark Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Fox Run Parkway, Ste 200, Yankton, SD 57078 Phone: 605-260-2100 Fax: 605-665-5200 | |
Yankton Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 Broadway Ave, Ste 8, Yankton, SD 57078 Phone: 605-665-8838 Fax: 605-665-1123 | |
Avera Medical Group Family Medicine Yankton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078 Phone: 605-260-2100 Fax: 605-260-2104 | |
James D Kerr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Walnut St, Yankton, SD 57078 Phone: 605-660-9958 Fax: 605-689-3101 |