| Dr Kevin Michael Simonelic, MD | |
|
1440 N Main St, Spearfish, SD 57783-1505 | |
| (605) 644-4000 | |
| Not Available |
| Full Name | Dr Kevin Michael Simonelic |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 14 Years |
| Location | 1440 N Main St, Spearfish, 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 |
|---|---|---|---|
| 1750708244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10412 (South Dakota) | Secondary |
| 207R00000X | Internal Medicine | 01082938A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Michael Simonelic, MD 353 Fairmont Blvd, Rapid City, SD 57701-7375 Ph: (605) 755-8107 | Dr Kevin Michael Simonelic, MD 1440 N Main St, Spearfish, SD 57783-1505 Ph: (605) 644-4000 |
Gary Lynn Childers, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-642-8414 Fax: 605-642-8618 | |
Richard L. Keim, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-642-8414 Fax: 605-642-8618 | |
Dr. Prashant J Mehta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000 Fax: 605-755-7884 |