Mark Stephen Heine, PA-C
Individual provider Active NPI Physician Assistant · Spearfish, SD
NPI 1366489403 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1366489403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0450 (SD)
- Practice address
- 2479 E Colorado Blvd
Spearfish, SD 57783-3204 - Phone
- (605) 644-4460
- Fax
- (605) 644-4461
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Network Inc
Practice addresses (Care Compare)
1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000
2479 E Colorado Blvd
Spearfish, SD 57783-3204
Phone (605) 644-4460
Hospital & facility affiliations
- Monument Health Spearfish Hospital
- Monument Health Lead-Deadwood Hospital
- Monument Health Sturgis Hospital
- Black Hills Surgical Hospital LLC
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 |
|---|---|---|---|---|
| I20090113000841 | SD | Practitioner - Physician Assistant | 5193888428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Physician Assistant | Current |
Accepting new patients |
| Orthopedic Institute PC | Past | Accepting new patients | |
| Regional Health Physicians Inc | Past | Accepting new patients | |
| Affordable Medical Care LLC | Physician Assistant | Past | Accepting new patients |
Locations
61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000
3000 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 332-1502
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823
1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
1445 North Ave
Spearfish, SD 57783
Phone (605) 347-2536
2479 E Colorado Blvd
Spearfish, SD 57783
Phone (605) 644-4460
1316 N 10th St
Spearfish, SD 57783
Phone (605) 642-3113
Interoperability endpoints
- mheine.8300@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0450 | SD | Yes |
Addresses
Primary practice location
2479 E Colorado Blvd
Spearfish, SD 57783-3204
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other providers in Spearfish, SD
- Deming Haugland
- Carmen L Heaphy
- Heartland Day Connections LLC
- Heartland Senior Living, LLC
- Kraig Heil
- Pamela J. Hendrickson
- Kimberley B Hepper
- Katherin Ann Hernandez
- Tammy Kay Hersch
- William Kenneth Heston
All providers in Spearfish, 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 Feb 5, 2013. 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.