| Katie L Urban, PA-C | |
|
116 North Main Street, Presho, SD 57568-0422 | |
| (605) 895-2589 | |
| (605) 895-2325 |
| Full Name | Katie L Urban |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 116 North Main Street, Presho, South Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720345242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Inc | 3476447541 | 156 |
| Avera St Marys | 0143134965 | 97 |
| 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 | 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 | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Entity Name | Avera Gettysburg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366091357 PECOS PAC ID: 4284619362 Enrollment ID: O20191025000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie L Urban, PA-C Po Box 422, Presho, SD 57568-0422 Ph: (605) 895-2589 | Katie L Urban, PA-C 116 North Main Street, Presho, SD 57568-0422 Ph: (605) 895-2589 |
Dianna Mae England, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 116 N. Main St., Presho, SD 57568 Phone: 605-895-2589 Fax: 605-895-2325 |