| Dr David Joel Abbott, MD | |
|
2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | |
| (605) 665-0062 | |
| (605) 665-0076 |
| Full Name | Dr David Joel Abbott |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 30 Years |
| Location | 2525 Fox Run Pkwy, Yankton, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932136173 | NPI | - | NPPES |
| 6520336 | Medicaid | SD | |
| 6520370 | Medicaid | SD | |
| 6520374 | Medicaid | SD | |
| 6520339 | Medicaid | SD | |
| 6520373 | Medicaid | SD | |
| 10025374600 | Medicaid | NE | |
| 6520337 | Medicaid | SD | |
| 6520338 | Medicaid | SD | |
| 10025151400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 22982 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 5042 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Faith Health | Norfolk, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yankton Medical Clinic Pc | 1850208778 | 59 |
| Yankton Medical Clinic Pc | 1850208778 | 59 |
| Sacred Heart Health Services | 6103729066 | 151 |
| Sacred Heart Health Services | 6103729066 | 151 |
| Entity Name | Yankton Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447251350 PECOS PAC ID: 1850208778 Enrollment ID: O20040211000363 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508093147 PECOS PAC ID: 6103729066 Enrollment ID: O20091020000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Joel Abbott, MD 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 Ph: (605) 665-0062 | Dr David Joel Abbott, MD 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 Ph: (605) 665-0062 |
Robert Nicholas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2525 Fox Run Pkwy Ste 101, Yankton, SD 57078 Phone: 605-665-0062 Fax: 605-665-0076 |