Dr John Roy Sivesind, EDD is a medicare enrolled "Psychologist" provider in Flandreau, South Dakota. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Avera Mckennan, North American Baptist Seminary and his current practice location is
107 W Broad Ave, Flandreau, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 997-2640.
Dr John Roy Sivesind is licensed to practice in South Dakota (license number 283) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689865081.
Healthcare Provider's Profile
| Full Name | Dr John Roy Sivesind |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 39 Years |
|---|
| Location | 107 W Broad Ave, Flandreau, South Dakota |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr John Roy Sivesind graduated from medical school in 1985
NPI Data:
- NPI Number: 1689865081
- Provider Enumeration Date: 08/09/2007
- Last Update Date: 08/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941341101
- Enrollment ID: I20211103000654
Medical Identifiers
Medical identifiers for Dr John Roy Sivesind such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689865081 | NPI | - | NPPES |
| 5546010 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 283 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Avera Mckennan | 0345157103 | 833 |
| North American Baptist Seminary | 8628979721 | 15 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Roy Sivesind allows following entities to bill medicare on his behalf.
| Entity Name | Avera Mckennan |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
|---|
| Entity Name | North American Baptist Seminary |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962503383
PECOS PAC ID: 8628979721
Enrollment ID: O20040120000573 |
|---|
| Entity Name | Stronghold Counseling Services Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093790891
PECOS PAC ID: 3375642440
Enrollment ID: O20091214000759 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Roy Sivesind is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Roy Sivesind, EDD
107 W Broad Ave,
Flandreau, SD 57028
Ph: (605) 997-2640 | Dr John Roy Sivesind, EDD
107 W Broad Ave,
Flandreau, SD 57028
Ph: (605) 997-2640 |
Reviews and Comments