| Alexis Havlik, FNP-C | |
| 
					25652 James River Rd, Mitchell, SD 57301-7504  | |
| (608) 712-4684 | |
| Not Available | 
| Full Name | Alexis Havlik | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 25652 James River Rd, Mitchell, 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 | 
|---|---|---|---|
| 1679397731 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F11240044 (South Dakota) | Primary | 
| Entity Name | Avera Queen Of Peace | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301  | 
| Entity Name | Rural Health Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720076441 PECOS PAC ID: 3476447541 Enrollment ID: O20040210000648  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexis Havlik, FNP-C 25652 James River Rd, Mitchell, SD 57301-7504 Ph: (608) 712-4684  | Alexis Havlik, FNP-C 25652 James River Rd, Mitchell, SD 57301-7504 Ph: (608) 712-4684  | 
Theresa Miiller, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000  | |
Heidi M Gehrke,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000  | |
Kelly Jo Mcdermott,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-5701 Fax: 605-995-5700  | |
Ms. Penny Petersen,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000  | |
Kristin J Bietz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W 6th Ave, Mitchell, SD 57301 Phone: 605-292-6262  | |
Angela Mae Broughton,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000  | |
Kim Denise Kee, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E 6th Ave, Mitchell, SD 57301 Phone: 605-996-3380 Fax: 605-996-3385  |