| John M Van Erdewyk, MD | |
|
525 N Foster St, Mitchell, SD 57301-2966 | |
| (605) 995-2000 | |
| (605) 995-5645 |
| Full Name | John M Van Erdewyk |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 525 N Foster St, Mitchell, 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 |
|---|---|---|---|
| 1154344711 | NPI | - | NPPES |
| 050019274 | Other | SD | RAILROAD MEDICARE |
| 5700590 | Medicaid | SD | |
| 0002189 | Other | SD | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 3562 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health Services | 6103729066 | 85 |
| Avera Queen Of Peace | 9335050806 | 105 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
| Entity Name | Mitchell Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952328767 PECOS PAC ID: 9931180338 Enrollment ID: O20040529000156 |
| Mailing Address | Practice Location Address |
|---|---|
| John M Van Erdewyk, MD Po Box 5126, Sioux Falls, SD 57117-5126 Ph: (605) 335-1952 | John M Van Erdewyk, MD 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-2000 |
Phillip J Becker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 Fax: 605-995-5645 | |
Michael S Haley Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000 Fax: 605-995-5645 |