Mobridge Regional Hospital - Medicare Primary Care in Mobridge, SD

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Mobridge Regional Hospital is a medicare enrolled primary clinic (General Acute Care Hospital - Critical Access) in Mobridge, South Dakota. The current practice location for Mobridge Regional Hospital is 1401 10th Ave West, Mobridge, South Dakota. For appointments, you can reach them via phone at (605) 845-3692. The mailing address for Mobridge Regional Hospital is Po Box 580, Mobridge, South Dakota and phone number is (605) 845-3692.

Mobridge Regional Hospital is licensed to practice in South Dakota (license number 48404). The clinic also participates in the medicare program and its NPI number is 1871554311. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (605) 845-3692.

Contact Information

Mobridge Regional Hospital
1401 10th Ave West
Mobridge
SD 57601-0850
(605) 845-3692
(605) 845-8252

Map and Direction


Primary Care Clinic Profile

Full NameMobridge Regional Hospital
SpecialityGeneral Acute Care Hospital
Location1401 10th Ave West, Mobridge, South Dakota
Authorized Official Name and PositionRenae Tisdall (CFO)
Authorized Official Contact6058458164
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mobridge Regional Hospital
Po Box 580
Mobridge
SD 57601-0580

Ph: (605) 845-3692		Mobridge Regional Hospital
1401 10th Ave West
Mobridge
SD 57601-0850

Ph: (605) 845-3692

NPI Details:

NPI Number1871554311
Provider Enumeration Date03/31/2006
Last Update Date10/06/2016

Medicare PECOS Information:

Medicare PECOS PAC ID6507776135
Medicare Enrollment IDO20031201000671

Medical Identifiers

Medical identifiers for Mobridge Regional Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871554311NPI-NPPES
81325OtherSDBCBS OF SOUTH DAKOTA
5500400MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 48404 (South Dakota)Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access 48404 (South Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mobridge Regional Hospital acts as a billing entity for following providers:
Provider NameTravis B Henderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558343061
PECOS PAC ID: 2860476553
Enrollment ID: I20040618000217
Provider NameJessica Y Norder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508830274
PECOS PAC ID: 0042289910
Enrollment ID: I20040928000364
Provider NameColette a Ducheneaux
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1417910373
PECOS PAC ID: 2264437607
Enrollment ID: I20060919000205
Provider NameClint E Perman
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1386731719
PECOS PAC ID: 5496826455
Enrollment ID: I20080619000607
Provider NamePaul C Eckrich
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1184681108
PECOS PAC ID: 5395738629
Enrollment ID: I20080813000178
Provider NameJosh B Henderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730334384
PECOS PAC ID: 0547314692
Enrollment ID: I20090824000740
Provider NameCandida Goehring
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659683654
PECOS PAC ID: 8022134410
Enrollment ID: I20100922001017
Provider NameDorinda R Vojta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689658841
PECOS PAC ID: 5991994394
Enrollment ID: I20110118000332
Provider NameRobert C Marciano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427030949
PECOS PAC ID: 8325958960
Enrollment ID: I20110426000850
Provider NameHeather D Olson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1952723702
PECOS PAC ID: 4981837960
Enrollment ID: I20140428000680
Provider NamePaul T Denna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376838839
PECOS PAC ID: 8426291717
Enrollment ID: I20140804001897
Provider NameKaren Fryhling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063870194
PECOS PAC ID: 0244536878
Enrollment ID: I20160308002738
Provider NameMatthew J Schaffer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508271115
PECOS PAC ID: 9931498938
Enrollment ID: I20170628001090
Provider NameElisabeth M Dady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093221731
PECOS PAC ID: 6406115294
Enrollment ID: I20180124002822
Provider NameAndrea L Roberts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295866507
PECOS PAC ID: 0547341513
Enrollment ID: I20180605001601
Provider NameJessica a Heinrich
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588142863
PECOS PAC ID: 7416208566
Enrollment ID: I20181214001881
Provider NameEmily Danielle Boden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932580917
PECOS PAC ID: 3870805401
Enrollment ID: I20190118001670
Provider NameAnette Hollenbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114586559
PECOS PAC ID: 3779811062
Enrollment ID: I20190823003360
Provider NameJerry M Obritsch
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093769291
PECOS PAC ID: 7719902170
Enrollment ID: I20200820001864
Provider NameTodd a Salfrank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639778822
PECOS PAC ID: 4688084833
Enrollment ID: I20201029001945
Provider NamePreston W Huber
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629433982
PECOS PAC ID: 8123322500
Enrollment ID: I20210204002903
Provider NameHoward C Harper
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184654592
PECOS PAC ID: 0648215921
Enrollment ID: I20240806004262
Provider NameMerhej Hannun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417526328
PECOS PAC ID: 9638603244
Enrollment ID: I20241105001680
Provider NameMichael Mason Keller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962389916
PECOS PAC ID: 3678061595
Enrollment ID: I20251022004768
Provider NameAndrew Hoffman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104934389
PECOS PAC ID: 1456246222
Enrollment ID: I20260511003114

Reviews and Comments

Other Primary Care Clinics in Mobridge, SD

Mobridge Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1309 10th Ave West, Mobridge, SD 57601
Phone: 605-845-3692    Fax: 605-845-8239
Mobridge Family Practice Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1400 10th Ave W, Mobridge, SD 57601
Phone: 605-845-7292    Fax: 605-845-7812
Shadow Anesthesia Services, LLC
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 10th Ave W, Mobridge, SD 57601
Phone: 605-845-8271    Fax: 605-845-3502

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.