| Phil D Jaquith, PA | |
|
101 S Plum St, Vermillion, SD 57069-3306 | |
| (605) 624-8643 | |
| Not Available |
| Full Name | Phil D Jaquith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 101 S Plum St, Vermillion, 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 |
|---|---|---|---|
| 1437150380 | NPI | - | NPPES |
| 6822814 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0462 (South Dakota) | Primary |
| Entity Name | Santee Sioux Tribe of Nebraska |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053465096 PECOS PAC ID: 8426102773 Enrollment ID: O20090820000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Phil D Jaquith, PA 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 | Phil D Jaquith, PA 101 S Plum St, Vermillion, SD 57069-3306 Ph: (605) 624-8643 |
Xuyen Kim Nguyen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 877-269-6837 |
Kathryn Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-677-3700 |
Lukas Dean Rohde, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-677-3700 |
Kathryn Therese Kassin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-677-3700 |
Haley Gillen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-677-3700 |
Dayna Gayle-rylance Semchenko, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-677-3700 |
Anthony Burbach, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-624-9111 Fax: 605-624-6636 |