| Mr Kellen Patrick Schmidt, | |
|
401 9th Ave Nw, Watertown, SD 57201-1548 | |
| (605) 882-7000 | |
| Not Available |
| Full Name | Mr Kellen Patrick Schmidt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 401 9th Ave Nw, Watertown, 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 |
|---|---|---|---|
| 1336810696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR001092 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prairie Lakes Hospital | Watertown, SD | Hospital |
| Avera Heart Hospital Of South Dakota | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Lakes Health Care System Inc | 8628987823 | 111 |
| Heart Hospital Of South Dakota Llc | 5799777249 | 66 |
| Entity Name | Prairie Lakes Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Entity Name | Heart Hospital of South Dakota LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023003969 PECOS PAC ID: 5799777249 Enrollment ID: O20040402000412 |
| Entity Name | Ophthalmology Ltd Eye Surgery Center L L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871581876 PECOS PAC ID: 1557357175 Enrollment ID: O20040421000731 |
| Entity Name | Coteau Des Prairies Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417051517 PECOS PAC ID: 8022926468 Enrollment ID: O20040426000280 |
| Entity Name | Coteau Des Prairies Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417051517 PECOS PAC ID: 8022926468 Enrollment ID: O20081015000428 |
| Entity Name | Ikare Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396594198 PECOS PAC ID: 0749723609 Enrollment ID: O20240705001505 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kellen Patrick Schmidt, 301 N French Ave, Sioux Falls, SD 57103-1330 Ph: (605) 254-1010 | Mr Kellen Patrick Schmidt, 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7000 |
Kevin Daniel Roark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 |
Jared Damian Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 |
Henry P Voss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 |
Mark E Schulz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 |
Austin Dale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 |
Keith A Wanner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7819 |
Hilary A Meyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7819 |