Michael Joe Hanvey, PA-C
Individual provider Active NPI Physician Assistant · Scotland, SD
NPI 1295836716 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1295836716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0651 (SD)
- Practice address
- 610 Billars St
Scotland, SD 57059-2026 - Phone
- (605) 583-2227
- Fax
- (605) 583-6125
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wagner Indian Health Service Health Center
Practice addresses (Care Compare)
111 Washington Ave NW
Wagner, SD 57380-4300
Phone (605) 384-4820
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.27 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, TX
- 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 |
|---|---|---|---|---|
| I20070808000146 | SD | Practitioner - Physician Assistant | 1456442201 | Reassigns benefits to 1 organization |
| I20240215002068 | TX | Practitioner - Physician Assistant | 1456442201 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1318 | NE | MD | Physical Therapy Assistant |
| 0651 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmann Jungman Memorial Hospital Corporation | Current |
Accepting new patients |
Locations
610 Billars St
Scotland, SD 57059
Phone (605) 583-2226
Interoperability endpoints
- michael.hanvey@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0651 | SD | Yes |
Addresses
Primary practice location
610 Billars St
Scotland, SD 57059-2026
Mailing address
610 Billars St
Scotland, SD 57059-2026
Phone (605) 583-2227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6829560 | Medicaid | SD |
Other providers in Scotland, SD
- Shannon Fanning
- First Chiropractic Centers, PC
- Morgan Frey
- Caroline Marie Fuhrer
- Kristin Grosz
- Curtis Ray Johnson
- Melissa Kludt
- Landmann Jungman Memorial Hospital Corporation
- Landmann Jungman Memorial Hospital Corporation
- Landmann Jungman Memorial Hospital Corporation
All providers in Scotland, 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 Apr 8, 2008. 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.