| Avera Medical Group Psychiatry Aberdeen | |
|
201 S Lloyd St Ste E201 Aberdeen SD 57401-4509 | |
| (605) 622-2545 | |
| (605) 622-2531 |
| Full Name | Avera Medical Group Psychiatry Aberdeen |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 201 S Lloyd St Ste E201, Aberdeen, South Dakota |
| Authorized Official Name and Position | Daniel J Bjerknes (PRESIDENT/CEO) |
| Authorized Official Contact | 6056225125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Psychiatry Aberdeen Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera Medical Group Psychiatry Aberdeen 201 S Lloyd St Ste E201 Aberdeen SD 57401-4509 Ph: (605) 622-2545 |
| NPI Number | 1649208695 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649208695 | NPI | - | NPPES |
| 12240 | Medicaid | ND | |
| 25334 | Other | ND | BCBS OF ND |
| 9209669 | Other | SD | DAKOTACARE |
| 90349 | Other | SD | HEALTH PARTNERS |
| 4996464 | Other | SD | WELLMARK BC/BS OF SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10525 (South Dakota) | Primary |
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