Colette A Ducheneaux (NPI# 1417910373, PAC ID# 2264437607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1417910373 |
| PAC ID by PECOS | 2264437607 |
| Professional Enrollment ID | I20060919000205 |
| Full Name | Colette A Ducheneaux |
| Organization Legal Name | AVERA ST MARYS |
| Address |
100 Mac Ln Pierre SD 57501-3391 |
| Phone Number | 6059455221 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0143134965 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430015 | AVERA ST MARY'S HOSPITAL |
| 431325 | MOBRIDGE REGIONAL HOSPITAL - CAH |
| Address | Phone | Organization |
|---|---|---|
| 1309 10th Ave W, Mobridge, SD 57601-1146 | 6058453692 | MOBRIDGE REGIONAL HOSPITAL |
| 100 Mac Ln, Pierre, SD 57501-3391 | 6059455221 | AVERA ST MARYS |
| Organization Legal Name | AVERA ST MARYS |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine D Bonnichsen | Dermatology | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Chad J Carda | Family Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Darrell W Plumage | Internal Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Eldon R Becker | General Surgery | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Daniel R Rasmussen | Physical Medicine and Rehabilitation | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Kevin Daniel Roark | Certified Registered Nurse Anesthetist (crna) | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Natalie S Hutton | Pediatric Medicine | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Mark P Shashikant | Plastic and Reconstructive Surgery | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Julie A Cox | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Ericka L Wiebusch | Nurse Practitioner | Avera St Marys | 801 E Sioux Ave, Pierre, SD 57501-3323 |
| Street Address |
100 MAC LN |
| City | PIERRE |
| State | SD |
| Zip | 57501-3391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Wright | Ophthalmology | Paul L Wright Md PC | 100 Mac Ln, Pierre, SD 57501-3391 |
| Barbara J Joy | Physician Assistant | Avera St Marys | 100 Mac Ln, Pierre, SD 57501-3391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shon A Weaver | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Michael Bartlett | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Douglas C Beemer | Optometry | Beemer and Bartlett Eye Clinic, LLC | 100 W Capitol Ave, Pierre, SD 57501-2036 |
| Anthony R Blake | Chiropractic | 1205 N Harrison Ave, 203 Oahe Chiropractic and Wellness, Pierre, SD 57501-2397 | |
| Mark A Steiner | Chiropractic | Steiner Chiropractic, P.C. | 110 W Dakota Ave, Pierre, SD 57501-2413 |
| Laura E Prunty | Chiropractic | Prunty Chiropractic P.C. | 420 W Sioux Ave, 1 Prunty Chiropractic, Pierre, SD 57501-2481 |
| Shane V Prunty | Chiropractic | Prunty Chiropractic P.C. | 420 W Sioux Ave, 1 Prunty Chiropractic, Pierre, SD 57501-2481 |
| Ryan R Bales | Chiropractic | Bales Chiropractic | 200 E Dakota, Suite 3, Pierre, SD 57501-3199 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Denette K Eisnach | Optometry | Central Dakota Eyecare LLP | 640 E Sioux Ave, Suite 3, Pierre, SD 57501-3300 |
| Find all physicians in zip 57501 | |||
| City | PIERRE |
| Zip Code | 57501 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PIERRE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Colette A Ducheneaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.