| Dr Gonzalo H Sanchez Jr, MD | |
|
100 Mac Lane, Averal Medical Group Pierre, Pierre, SD 57501 | |
| (605) 224-7070 | |
| (605) 224-2514 |
| Full Name | Dr Gonzalo H Sanchez Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 28 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 |
|---|---|---|---|
| 1841250727 | NPI | - | NPPES |
| 6402162 | Medicaid | SD | |
| 6402160 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5217 (South Dakota) | Secondary |
| 207X00000X | Orthopaedic Surgery | SD5217 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Avera Hand County Memorial Hospital And Clinic | Miller, SD | Hospital |
| Avera Gettysburg Hospital | Gettysburg, SD | Hospital |
| Winner Regional Healthcare Center - Cah | Winner, SD | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera St Marys | 0143134965 | 95 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gonzalo H Sanchez Jr, MD 100 Mac Lane, Averal Medical Group Pierre, Pierre, SD 57501 Ph: (605) 224-7070 | Dr Gonzalo H Sanchez Jr, MD 100 Mac Lane, Averal Medical Group Pierre, Pierre, SD 57501 Ph: (605) 224-7070 |
Dr. Stephen Y Stout, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Phone: 605-224-7070 Fax: 605-224-2514 |