Bowdle Hospital
A Medicare group practice based in Bowdle, SD: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9335056902), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9335056902
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- SD
- Enrollments
- 5
- Group size
- 4 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 5
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20061104000301 | SD | Part A Provider - Critical Access Hospital | 1003999152 |
| O20070208000330 | SD | Part A Provider - Critical Access Hospital | 1669418877 |
| O20021010000032 | SD | Part A Provider - Rural Health Clinic | 1942395835 |
| O20040430001021 | SD | Part A Provider - Skilled Nursing Facility | 1174610505 |
| O20040325001225 | SD | Part B Supplier - Clinic/Group Practice | 1669418877 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bowdle Hospital
- Medicare Defined Swing Bed Hospital Unit
- Bowdle, SD
- NPI 1003999152
-
Bowdle Hospital
- Critical Access Hospital
- Bowdle, SD
- NPI 1669418877
-
Bowdle Clinic
- Clinic/Center
- Bowdle, SD
- NPI 1982760435
Practice locations
- Bowdle, SD5
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).
-
Colette A Ducheneaux, M.D.
- Family Medicine Physician
- Mobridge, SD
- NPI 1417910373
-
Brian D Ermer, PAC
- Physician Assistant
- Aberdeen, SD
- NPI 1417931908
-
Lacey Kessler, MD
- Family Medicine Physician
- Bowdle, SD
- NPI 1508279738
-
Amanda Kramer, P.A.
- Physician Assistant
- Bowdle, SD
- NPI 1407131915
-
John C Ottenbacher, MD
- Family Medicine Physician
- Bowdle, SD
- NPI 1891865705
-
Jorge E Patino-Buelvas, M.D.
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1003040296
-
Clint E. Perman, P.A.
- Physician Assistant
- Selby, SD
- NPI 1386731719
-
Travis H Preszler, PA-C
- Family Medicine Physician
- Bowdle, SD
- NPI 1770565764
-
Wayne L Washenberger, PAC
- Physician Assistant
- Aberdeen, SD
- NPI 1619959236
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.