Antoinette J Vander Pol, MD - Medicare Family Practice in Parkston, SD

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Antoinette J Vander Pol, MD is a medicare enrolled "Family Medicine" physician in Parkston, South Dakota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1997 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Benedict Health Center and her current practice location is 401 W Glynn Dr, Parkston, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 928-3311.

Antoinette J Vander Pol is licensed to practice in South Dakota (license number 4723) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689655789.

Contact Information

Antoinette J Vander Pol, MD
401 W Glynn Dr,
Parkston, SD 57366-9605
(605) 928-3311
(605) 928-7368

Map and Direction




Physician's Profile

Full NameAntoinette J Vander Pol
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location401 W Glynn Dr, Parkston, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Antoinette J Vander Pol attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1997
  NPI Data:
  • NPI Number: 1689655789
  • Provider Enumeration Date: 11/07/2005
  • Last Update Date: 09/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214910694
  • Enrollment ID: I20100709000365

Medical Identifiers

Medical identifiers for Antoinette J Vander Pol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689655789NPI-NPPES
0007357OtherSDWELLMARK PARKSTON
4997645OtherSDWELLMARK - LAKE ANDES
9169682OtherSDDAKOTACARE
5610842MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4723 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera At HomeMitchell, SDHome health agency
Avera At HomeMitchell, SDHospice
Avera St Benedict Health Center - CahParkston, SDHospital
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Good Samaritan Society CorsicaCorsica, SDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Benedict Health Center488050767212

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Antoinette J Vander Pol allows following entities to bill medicare on her behalf.
Entity NameSt Benedict Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295758266
PECOS PAC ID: 4880507672
Enrollment ID: O20040129001118
Entity NameLandmann Jungman Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649321407
PECOS PAC ID: 2961461421
Enrollment ID: O20041008001072

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antoinette J Vander Pol is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Antoinette J Vander Pol, MD
401 W Glynn Dr,
Parkston, SD 57366-9605

Ph: (605) 928-3311		Antoinette J Vander Pol, MD
401 W Glynn Dr,
Parkston, SD 57366-9605

Ph: (605) 928-3311

Reviews and Comments


Family Medicine Doctors in Parkston, SD

Jason W. Wickersham, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Glynn Dr, Parkston, SD 57366
Phone: 605-928-3311    Fax: 605-928-7368
Richard W. Honke Ii, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 401 W Glynn Dr, Parkston, SD 57366
Phone: 605-928-3311    Fax: 605-928-7368
Paul David Berndt, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Glynn Dr, Parkston, SD 57366
Phone: 605-928-7961    Fax: 605-928-4417

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.