| Dr Mark Gregory Desautel, MD | |
|
1310 W 22nd St, Sioux Falls, SD 57105-1501 | |
| (605) 328-8200 | |
| (605) 328-8201 |
| Full Name | Dr Mark Gregory Desautel |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 34 Years |
| Location | 1310 W 22nd St, Sioux Falls, 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 |
|---|---|---|---|
| 1255338174 | NPI | - | NPPES |
| 4996176 | Other | SD | BLUE SHIELD |
| 8015163000 | Medicaid | MN | |
| 6520242 | Medicaid | SD | |
| 1986174 | Medicaid | IA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Pipestone County Medical Center | Pipestone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Gregory Desautel, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr Mark Gregory Desautel, MD 1310 W 22nd St, Sioux Falls, SD 57105-1501 Ph: (605) 328-8200 |
Sean Johnson, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1310 W 22nd St, Sioux Falls, SD 57105 Phone: 605-328-8200 | |
Mark James Jameson, MD PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105 Phone: 605-504-3000 Fax: 605-504-3001 | |
Jaishree Palanisamy Lerew, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1310 W 22nd St, Sioux Falls, SD 57105 Phone: 605-328-8200 | |
Dr. Micah Marshall Likness, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2315 W 57th St, Sioux Falls, SD 57108 Phone: 605-336-3503 Fax: 605-665-0076 | |
Kristen Leigh Seligman Coffroth, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105 Phone: 605-504-3000 | |
William H. Avery, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1310 W 22nd St, Sioux Falls, SD 57105 Phone: 605-328-8200 Fax: 605-328-8201 | |
Dr. Craig Phillip Hedges, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2315 W 57th St, Sioux Falls, SD 57108 Phone: 605-336-3503 Fax: 605-336-6010 |