Cy B Haatvedt, MD is a medicare enrolled "Surgery" physician in Huron, South Dakota. His current practice location is
455 Kansas Ave Se, Huron, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 352-8767.
Cy B Haatvedt is licensed to practice in South Dakota (license number 3838) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942205489.
Physician's Profile
| Full Name | Cy B Haatvedt |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 455 Kansas Ave Se, Huron, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942205489
- Provider Enumeration Date: 06/20/2005
- Last Update Date: 11/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 5991770208
- Enrollment ID: I20100106000859
Medical Identifiers
Medical identifiers for Cy B Haatvedt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942205489 | NPI | - | NPPES |
| 3838 | Other | SD | DAKOTACARE |
| 0003451 | Other | SD | WELLMARK |
| 7300560 | Medicaid | SD | |
| 020026365 | Other | SD | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 3838 (South Dakota) | Primary |
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. Cy B Haatvedt allows following entities to bill medicare on his behalf.
| Entity Name | Huron Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154312429
PECOS PAC ID: 2769393388
Enrollment ID: O20040123000946 |
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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. Cy B Haatvedt 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 Address | Practice Location Address |
|---|
Cy B Haatvedt, MD
Po Box 1411,
Huron, SD 57350-1411
Ph: (605) 352-8767 | Cy B Haatvedt, MD
455 Kansas Ave Se,
Huron, SD 57350-2522
Ph: (605) 352-8767 |
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