| Jami Kortan, PA-C | |
|
1445 North Ave, Spearfish, SD 57783 | |
| (605) 644-4170 | |
| (605) 644-4198 |
| Full Name | Jami Kortan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1445 North Ave, Spearfish, 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 |
|---|---|---|---|
| 1558316422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0611 (South Dakota) | Primary |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Jami Kortan, PA-C 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: Not Available | Jami Kortan, PA-C 1445 North Ave, Spearfish, SD 57783 Ph: (605) 644-4170 |
Jessica Johnson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 |
Gregory Larson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-717-8860 |
Chloe Jane Mcphilamy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 |
Mark Stephen Heine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 Fax: 605-644-4461 |
Jeffrey A Schild, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-642-8618 |
Wesley W Broeder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 Fax: 605-644-4461 |
Dylin L Johnson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 |