| Kimberly D Hafeman, PA-C | |
|
113 Comanche Rd, Fort Meade, SD 57741-1002 | |
| (605) 745-2000 | |
| Not Available |
| Full Name | Kimberly D Hafeman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 113 Comanche Rd, Fort Meade, 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 |
|---|---|---|---|
| 1841527215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1475 (Nebraska) | Primary |
| Entity Name | Regional West Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly D Hafeman, PA-C 3011 Avenue B, Scottsbluff, NE 69361-4372 Ph: (308) 632-2215 | Kimberly D Hafeman, PA-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 745-2000 |
Kaitlin M Atwater, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7449 |
Mrs. Diana C Jones, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 |
Melissa Piatz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 |
Michelle Renee Hagen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 |
Jennie A Brehm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 |
Charles Wade Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-7491 |
Justin Thurman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7000 |