| Robert Payne, MD | |
|
701 3rd Ave S, Clear Lake, SD 57226-2016 | |
| (605) 874-2141 | |
| Not Available |
| Full Name | Robert Payne |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 701 3rd Ave S, Clear Lake, 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 |
|---|---|---|---|
| 1184038580 | NPI | - | NPPES |
| 0001-0205178 | Other | MEDICA | |
| 1184038580 | Other | MN | BCBS OF MINNESOTA |
| 1184038580 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 59527 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 13087 (South Dakota) | Primary |
| Entity Name | Johnson Memorial Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770697260 PECOS PAC ID: 5395653836 Enrollment ID: O20031223000327 |
| Entity Name | Lake View Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023067642 PECOS PAC ID: 9032002688 Enrollment ID: O20040206000105 |
| Entity Name | County Of Meeker |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083221816 PECOS PAC ID: 0840109740 Enrollment ID: O20040216000811 |
| Entity Name | Appleton Area Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578590626 PECOS PAC ID: 7618952565 Enrollment ID: O20060504000767 |
| Entity Name | St Francis Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639162381 PECOS PAC ID: 8123937992 Enrollment ID: O20080303000129 |
| Entity Name | Carris Health - Redwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
| Entity Name | Centracare Health - Benson Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230203001165 |
| Entity Name | Centracare Health - Benson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230411000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Payne, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Robert Payne, MD 701 3rd Ave S, Clear Lake, SD 57226-2016 Ph: (605) 874-2141 |