| Karl S Demarco, MD | |
|
410 W 16th Ave, Tyndall, SD 57066-2318 | |
| (605) 589-2100 | |
| (605) 589-2115 |
| Full Name | Karl S Demarco |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 410 W 16th Ave, Tyndall, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205483781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13975 (South Dakota) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl S Demarco, MD 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2100 | Karl S Demarco, MD 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2100 |
Melvin Wallinga, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 West 16th Ave, Tyndall, SD 57066 Phone: 605-589-3341 Fax: 605-589-3288 | |
Lori Ranek, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-4602 Fax: 605-589-3288 | |
Rock F. Boyd, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 16th Ave.w, Tyndall, SD 57066 Phone: 605-589-3341 Fax: 605-589-3288 |