| Gregory Allan Kouri, OD | |
|
415 W 3rd St, Yankton, SD 57078-4201 | |
| (605) 665-9638 | |
| (605) 665-0526 |
| Full Name | Gregory Allan Kouri |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 32 Years |
| Location | 415 W 3rd St, Yankton, 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 |
|---|---|---|---|
| 1336142272 | NPI | - | NPPES |
| 36-3050195-07 | Medicaid | NE | |
| NA1114002 | Other | NE | NE MEDICARE PTAN NORFOLK, NE |
| 22055 | Other | NE | NE BLUE SHIELD |
| 0004557 | Other | SD | SD WELLMARK BLUE SHIELD |
| 36-3050195-06 | Medicaid | SD | |
| 521 | Other | DAKOTACARE | |
| 9200084 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 521 (South Dakota) | Primary |
| 152W00000X | Optometrist | 1065 (Nebraska) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health Services | 6103729066 | 85 |
| Sacred Heart Health Services | 6103729066 | 85 |
| Provider Name | Sacred Heart Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508093147 PECOS PAC ID: 6103729066 Enrollment ID: O20091020000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Allan Kouri, OD Po Box 819, Yankton, SD 57078-0819 Ph: (605) 665-9638 | Gregory Allan Kouri, OD 415 W 3rd St, Yankton, SD 57078-4201 Ph: (605) 665-9638 |
Sacred Heart Health Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 W 3rd St, Yankton, SD 57078 Phone: 605-665-9638 Fax: 605-665-0526 | |
Mark Thomas Steckler, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 508 W 23rd St Ste 2, Yankton, SD 57078 Phone: 605-665-8688 Fax: 605-665-8805 | |
Paul S Anderson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2701 Fox Run Pkwy, Yankton, SD 57078 Phone: 605-665-7762 Fax: 605-725-2614 | |
Aaron Feser, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2701 Fox Run Pkwy, Yankton, SD 57078 Phone: 605-665-7762 Fax: 605-725-2614 | |
Bowen Michael Mollman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 Broadway Ave, Yankton, SD 57078 Phone: 605-665-4600 Fax: 605-665-4813 | |
Alex Lynne Kneeland, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 508 W 23rd St Ste 2, Yankton, SD 57078 Phone: 605-665-8688 |