MEDICARE: SCOTT A SCHNEIDER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	3666	SD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	260040364	OTHER	SD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	25266	OTHER	SD	SANFORD HEALTH PLAN
4	57108D003	OTHER	SD	WPS TRICARE
5	769191017550	OTHER	SD	PREFERRED ONE
6	10378	OTHER	SD	MIDLANDS CHOICE
7	512428	OTHER	SD	ARAZ/ AMERICA'S PPO
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	92411422904	OTHER	MN	PRIMEWEST
10	HP24841	OTHER	SD	HEALTHPARTNERS
11	0002827	OTHER	SD	BLUE CROSS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	3666	OTHER	SD	DAKOTACARE
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	3T022SC	OTHER	MN	CC SYSTEMS/ BLUE PLUS

General Provider Information

NPI Number	:	1639141179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT A SCHNEIDER M.D.

Provider Business Mailing Address
First Line	:	2400 S MINNESOTA AVE
Second Line	:	STE 100
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-3761
Country	:	US
Telephone Number	:	605-322-7510
Fax Number	:	605-322-6475

Provider Business Practice Location Address
First Line	:	4400 W 69TH ST
Second Line	:	STE 500
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-8170
Country	:	US
Telephone Number	:	605-322-7580
Fax Number	:	605-322-7579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	12/11/2013

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Directions to “ SCOTT A SCHNEIDER M.D.” Practice Location

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