| Michael D Gillett, MD | |
|
201 W 69th St, Sioux Falls, SD 57108-2403 | |
| (605) 336-0635 | |
| (605) 271-0543 |
| Full Name | Michael D Gillett |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 201 W 69th 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 |
|---|---|---|---|
| 1619954542 | NPI | - | NPPES |
| 0749101 | Medicaid | IA | |
| P00337027 | Other | SD | RAILROAD MEDICARE |
| 7500490 | Medicaid | SD | |
| 165167600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 43656 (Minnesota) | Primary |
| 208800000X | Urology | 5878 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Sanford Usd Medical Center | Sioux falls, SD | Hospital |
| Sioux Falls Specialty Hospital | Sioux falls, SD | Hospital |
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Madison Regional Health System | Madison, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Specialists Chartered | 9234031329 | 42 |
| Entity Name | Urology Specialists Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881647246 PECOS PAC ID: 9234031329 Enrollment ID: O20040121000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Gillett, MD 201 W 69th St, Sioux Falls, SD 57108-2403 Ph: (605) 336-0635 | Michael D Gillett, MD 201 W 69th St, Sioux Falls, SD 57108-2403 Ph: (605) 336-0635 |
Darlys R Hofer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-336-7182 | |
Alex James Hannemann, MD Urology Medicare: Medicare Enrolled Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 | |
Dr. Dennis Thum, Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Eugene S Park, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th Street, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Dr. Nathan Andrew Bockholt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Dr. Matthew Daniel Larson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 | |
Robert C Johnson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105 Phone: 605-336-0635 Fax: 605-336-7182 |