| Mark Stephen Heine, PA-C | |
|
2479 E Colorado Blvd, Spearfish, SD 57783-3204 | |
| (605) 644-4460 | |
| (605) 644-4461 |
| Full Name | Mark Stephen Heine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 2479 E Colorado Blvd, Spearfish, 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 |
|---|---|---|---|
| 1366489403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0450 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
| Monument Health Lead-deadwood Hospital | Deadwood, SD | Hospital |
| Monument Health Sturgis Hospital | Sturgis, SD | Hospital |
| Black Hills Surgical Hospital Llc | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Network Inc | 5991616427 | 163 |
| 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 | 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 |
|---|---|
| Mark Stephen Heine, PA-C 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: Not Available | Mark Stephen Heine, PA-C 2479 E Colorado Blvd, Spearfish, SD 57783-3204 Ph: (605) 644-4460 |
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 |
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 |
Jami Kortan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1445 North Ave, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 |
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 |