| 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 |
| Experience | 13 Years |
| Location | 601 E 7th St, Platte, South Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649613076 | NPI | - | NPPES |
| S107304 | Other | SD | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0862 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Platte Health Center - Cah | Platte, SD | Hospital |
| Aurora Brule Nursing Home Inc | White lake, SD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Platte Community Memorial Hospital Inc | 6507770054 | 8 |
| 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 |