| Mr Shane Merchant, PA-C | |
|
410 W 16th Ave, Tyndall, SD 57066-2318 | |
| (605) 589-2188 | |
| (605) 589-4603 |
| Full Name | Mr Shane Merchant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 410 W 16th Ave, Tyndall, 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 |
|---|---|---|---|
| 1689001166 | NPI | - | NPPES |
| 2007146 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0887 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Michael's Hospital - Cah | Tyndall, SD | Hospital |
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Michael's Hospital, Inc. | 2668380262 | 16 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
| Entity Name | St Michael's Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467496158 PECOS PAC ID: 2668380262 Enrollment ID: O20081010000300 |
| Entity Name | St Michael's Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730123522 PECOS PAC ID: 2668380262 Enrollment ID: O20101007000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Merchant, PA-C 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2188 | Mr Shane Merchant, PA-C 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2188 |
Amber Evenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-2190 Fax: 605-589-4603 |
Angela Schnetzer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-3341 Fax: 605-589-4603 |
Scott R Ulmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-2100 Fax: 605-589-2115 |
Mr. Bradley E Adams, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2205 Main St, Tyndall, SD 57066 Phone: 605-464-0545 |
Kimberly Hinz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-2100 Fax: 605-589-2115 |