| Dr Eldon R Becker, MD | |
|
100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | |
| (605) 945-5202 | |
| (605) 945-5094 |
| Full Name | Dr Eldon R Becker |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 100 Mac Lane, Pierre, 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 |
|---|---|---|---|
| 1023083797 | NPI | - | NPPES |
| 7301093 | Medicaid | SD | |
| 7301090 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2771 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Avera Gettysburg Hospital | Gettysburg, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera St Marys | 0143134965 | 77 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Entity Name | Avera Gettysburg |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319 |
| Entity Name | Avera Gettysburg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366091357 PECOS PAC ID: 4284619362 Enrollment ID: O20191025000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eldon R Becker, MD 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Ph: (605) 945-5202 | Dr Eldon R Becker, MD 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Ph: (605) 945-5202 |
Dr. Rodney T Vizcarra, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Phone: 605-945-5202 Fax: 605-945-5094 |