Douglas County Memorial Hospital
A Medicare group practice based in Armour, SD: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 7810889771), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7810889771
- Provider type
- DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
- Enrolled in
- SD
- Enrollments
- 8
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 8
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040325001576 | SD | Part B Supplier - Clinic/Group Practice | 1518155217 |
| O20040610000808 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 1104809219 |
| O20041029000768 | SD | Part A Provider - Rural Health Clinic | 1174516124 |
| O20061104000391 | SD | Part A Provider - Critical Access Hospital | 1336144021 |
| O20070129000592 | SD | Part A Provider - Critical Access Hospital | 1205819315 |
| O20100630000133 | SD | Part A Provider - Rural Health Clinic | 1003879958 |
| O20100701000560 | SD | Part A Provider - Rural Health Clinic | 1558464446 |
| O20100930021215 | SD | DME Supplier - Pharmacy | 1235161209 |
NPIs in this group 9
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Douglas County Memorial Hospital
dba Prairie Health Clinic - Corsica
- Rural Health Clinic/Center
- Corsica, SD
- NPI 1003879958
-
Douglas County Memorial Hospital
dba Douglas County Community Health
- Public Health or Welfare Agency
- Armour, SD
- NPI 1104809219
-
Douglas County Memorial Hospital
- Skilled Nursing Facility
- Armour, SD
- NPI 1205819315
-
Douglas County Memorial Hospital
dba Prairie Pharmacy
- Community/Retail Pharmacy
- Armour, SD
- NPI 1235161209
-
Douglas County Memorial Hospital
- Critical Access Hospital
- Armour, SD
- NPI 1336144021
-
Douglas County Memorial Hospital
- Critical Access Hospital
- Armour, SD
- NPI 1518155217
-
Douglas County Memorial Hospital
dba Prairie Health Clinic - Stickney
- Family Medicine Physician
- Stickney, SD
- NPI 1558464446
-
Douglas County Memorial Hospital
dba Prairie Health Clinic Wagner
- Rural Health Clinic/Center
- Wagner, SD
- NPI 1609013317
Practice locations
- Armour, SD6
- Stickney, SD2
- Corsica, SD2
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (9).
-
Nicole Lynn Bamberg, CNP
- Nurse Practitioner
- Fort Thompson, SD
- NPI 1043702244
-
Jennifer L Bietz, PA-C
- Medical Physician Assistant
- Armour, SD
- NPI 1225033681
-
Maurice Allen Dale Chessmore, MD
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1134783079
-
David Robert David, M.D.
- Family Medicine Physician
- Lamar, CO
- NPI 1598825994
-
Jesse Alan Hyde, CRNA
- Certified Registered Nurse Anesthetist
- Dakota Dunes, SD
- NPI 1073176921
-
Amy S Juracek, CNP
- Family Nurse Practitioner
- Burke, SD
- NPI 1790732600
-
Jeffrey Lee Konstanz, PA-C
- Physician Assistant
- Platte, SD
- NPI 1699728733
-
Marlys Luebke, M.D.
- Family Medicine Physician
- Armour, SD
- NPI 1396738316
-
Vanessa L Miiller, PA-C
- Physician Assistant
- Armour, SD
- NPI 1730184052
-
George Alfred Nicholas, M.D.
- Family Medicine Physician
- Huron, SD
- NPI 1356388995
-
Randal H Noyes, DO
- Family Medicine Physician
- Worthington, MN
- NPI 1912979345
-
Melody Otte
- Family Nurse Practitioner
- Wagner, SD
- NPI 1649686080
-
Nakayla Lea Pheifer, CNP
- Family Nurse Practitioner
- Armour, SD
- NPI 1467937136
-
Travis M Sanger, MD
- Family Medicine Physician
- Armour, SD
- NPI 1922054378
-
Janice Marie Schuman, PA-C,, RN
- Physician Assistant
- Armour, SD
- NPI 1316941099
-
Tammi K Stangohr, PA-C
- Physician Assistant
- Sioux Falls, SD
- NPI 1164428918
-
Kynan Charles Trail, MD
- Surgery Physician
- Yankton, SD
- NPI 1962452458
-
Amber K Wolter, PAC
- Medical Physician Assistant
- Armour, SD
- NPI 1295007268
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.