Avera Mckennan
Clinic/center
110 S Logan Ave Ste A, Gregory
South Dakota, 57533-1614
605-835-9611 605-835-8033
Avera Mckennan is a Clinic/center in Gregory, South Dakota. It is located at 110 S Logan Ave Ste A, Gregory and it's customer support contact number is 605-835-9611. The authorized person of Avera Mckennan is David William Flicek who is President/ceo of this DME and his contact number is 605-322-7915. Avera Mckennan accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Avera Mckennan is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
DME Supplier Details:
Avera Mckennan type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Avera Mckennan |
| Type: | Clinic/center |
| Location: | 110 S Logan Ave Ste A, Gregory,
South Dakota, 57533-1614 |
| Phone: | 605-835-9611 |
| Fax: | 605-835-8033 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | David William Flicek |
| Position: | President/ceo |
| Contact Number: | 605-322-7915 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1427090760 |
| NPI Enumeration Date: | 12 Jun, 2006 |
| NPI Last Update On: | 17 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera Mckennan are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 46011474312 | Medicaid | Nebraska | |
| 0000028 | Other | South Dakota | Wellmark Bc/bs |
Medicare Enrollment:
Avera Mckennan is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345157103 | O20100930015567 | Avera Mckennan | DME SUPPLIER - PHYSICIAN - FAMILY PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 110 S Logan Ave Ste A,
Gregory, South Dakota |
| Zip: | 57533-1614 |
| Phone Number: | 605-835-9611 |
| Fax Number: | 605-835-8033 |
Patients can reach Avera Mckennan at
110 S Logan Ave Ste A, Gregory, South Dakota or can
call on customer care at 605-835-9611.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.