| Trevor Kindle, | |
|
415 W 3rd St, Yankton, SD 57078-4201 | |
| (605) 665-9638 | |
| (605) 665-0526 |
| Full Name | Trevor Kindle |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 8 Years |
| Location | 415 W 3rd St, Yankton, 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 |
|---|---|---|---|
| 1548794316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 12801 (South Dakota) | Primary |
| 207W00000X | Ophthalmology | 33696 (Nebraska) | Secondary |
| 207W00000X | Ophthalmology | 64021 (Minnesota) | Secondary |
| 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 |
| Sacred Heart Health Services | 6103729066 | 85 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508093147 PECOS PAC ID: 6103729066 Enrollment ID: O20091020000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Kindle, 200 1st St Nw, Rochester, MN 55905-0001 Ph: () - | Trevor Kindle, 415 W 3rd St, Yankton, SD 57078-4201 Ph: (605) 665-9638 |
Paula Ann Hicks, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 415 W 3rd St, Yankton, SD 57078 Phone: 605-665-9638 Fax: 605-665-0526 | |
Patrick Holt King, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 415 W 3rd St, Yankton, SD 57078 Phone: 605-665-9638 Fax: 605-665-0526 | |
Dr. Karen Elizabeth Dickes, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 415 W 3rd St, Yankton, SD 57078 Phone: 605-665-9638 Fax: 605-665-0526 |