| Tia Kay Hetland, PA-C | |
| 
					601 E 7th St, Suite 3, Platte, SD 57369-2123  | |
| (605) 337-3364 | |
| (605) 337-3360 | 
| Full Name | Tia Kay Hetland | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 601 E 7th St, Platte, 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 | 
|---|---|---|---|
| 1649613076 | NPI | - | NPPES | 
| S107304 | Other | SD | MEDICARE PTAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 0862 (South Dakota) | Primary | 
| Entity Name | Platte Community Memorial Hospital Inc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1235133109 PECOS PAC ID: 6507770054 Enrollment ID: O20101018000651  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tia Kay Hetland, PA-C Po Box 818, Platte, SD 57369-0818 Ph: (605) 337-3364  | Tia Kay Hetland, PA-C 601 E 7th St, Suite 3, Platte, SD 57369-2123 Ph: (605) 337-3364  | 
Rick Stoltenburg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 E 7th St, Platte, SD 57369 Phone: 605-337-3364 Fax: 605-337-2670  | |
Mr. Jeffrey Lee Konstanz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 E 7th St, Platte, SD 57369 Phone: 605-337-1502 Fax: 605-337-3360  | |
Mrs. Pamela Ann Veurink, PA-C, NP, RN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 E 7th St, Ste 3, Platte, SD 57369 Phone: 605-337-1503 Fax: 605-337-3360  |