| Daniel J Kvale, PAC | |
|
105 W Main St, Bison, SD 57620-0003 | |
| (605) 244-5206 | |
| (605) 244-5208 |
| Full Name | Daniel J Kvale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 105 W Main St, Bison, 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 |
|---|---|---|---|
| 1750356465 | NPI | - | NPPES |
| 5350300 | Medicaid | SD | |
| 42507 | Other | SD | MED B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0549 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera @ Home | Sioux falls, SD | Home health agency |
| Avera Dells Area Hospital - Cah | Dell rapids, SD | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 957 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| 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 |
| Entity Name | Horizon Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154350064 PECOS PAC ID: 0345157103 Enrollment ID: O20061104000129 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295747608 PECOS PAC ID: 0345157103 Enrollment ID: O20061104000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Kvale, PAC Po Box 427, Bison, SD 57620-0427 Ph: (605) 244-5206 | Daniel J Kvale, PAC 105 W Main St, Bison, SD 57620-0003 Ph: (605) 244-5206 |