Rachele Vietor, PA-C
Individual provider Active NPI Physician Assistant · Mission, SD
NPI 1184008682 · NPPES record last updated Jul 16, 2015
Key facts
- NPI
- 1184008682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 161 South Main
Mission, SD 57555-0001 - Phone
- (605) 856-2295
- Fax
- (605) 856-2275
- NPI assigned
- Jul 14, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Sanford School of Medicine of University of South Dakota, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Horizon Health Care Inc
Practice addresses (Care Compare)
161 S Main
Mission, SD 57555
Phone (605) 856-2295
Hospital & facility affiliations
- Cherry County Hospital
- Winner Regional Healthcare Center - Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107002868 | SD | Practitioner - Physician Assistant | 3678875689 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Care Inc | Past |
Accepting new patients | |
| Horizon Health Care, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
161 South Main
Mission, SD 57555-0001
Mailing address
PO Box 49
161 South Main
Mission, SD 57555
Phone (605) 856-2295
Other providers in Mission, SD
- Kristine Ellece Smith
- Todd County School District
- Todd County School District 66-1
- Michelle Lynn Udelhoven
- Tara Jerray Vargas-Tucker
All providers in Mission, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.