Best Ambulatory Surgery Center Ours is the only ASC in South Dakota with a High Performing rating! Priceless moments We strive to provide exceptional patient experiences Vital for fighting cancer This test could save your life EXAMINER So Much Care, So Close to Home at Yankton Medical Clinic Spring/Summer 2025
2 yanktonmedicalclinic.com OUR MISSION To provide timely, compassionate, quality care to all who seek that care, with respect for and trust in those we serve. OUR VISION To be an independent regional center of medical excellence committed to quality care and medical education. Models may be used in photos and illustrations. 2025 © Coffey Communications, Inc. All rights reserved. EXAMINER is published as a community service for the residents of the service area of Yankton Medical Clinic, P.C., 1104 West 8th St., Yankton, SD 57078 yanktonmedicalclinic.com | 605-665-7841 Lunch and Learn for your health Yankton Medical Clinic and Yankton Thrive continue to collaborate to bring health education to our community with Lunch and Learn, a free health series held at various Yankton locations. “What Does It Mean to See a Geriatric Physician?” was the talk presented by Jennifer Fillaus, DO, Yankton Medical Clinic boardcertified internal and geriatric medicine physician, at the Lunch and Learn held at The Center in Yankton. She also answered questions regarding dementia, the shingles vaccine and important health screenings for people over 55 years old. Follow Yankton Medical Clinic on social media (Facebook and Instagram) for info regarding upcoming Lunch and Learn events. There is no cost to attend this community health event. Kidney health specialist now seeing patients in Norfolk As a boardcertified nephrologist, Jennifer Fillaus, DO, is the type of doctor who specializes in treating conditions that affect the kidneys, including chronic kidney disease, kidney infections and kidney failure. Additionally, as a boardcertified internal medicine and geriatric medicine specialist, Dr. Fillaus has expert knowledge on how kidney disease or dysfunction can affect other parts of the body. At Yankton Medical Clinic– Norfolk, we are committed to serving the Norfolk area by supporting the needs of our community. With the addition of Dr. Fillaus, you can receive expert nephrology care without having to drive to larger cities. Our physicians are highly respected and recognized by their peers as the best in their specialty. We’re proud to offer this exceptional care to the Norfolk area. Need a nephrologist in Norfolk? To schedule an appointment with Dr. Fillaus, please call 402-844-8110. Jennifer Fillaus, DO, spoke to a packed house about geriatric health at the Lunch and Learn hosted by Yankton Medical Clinic and Yankton Thrive at The Center in Yankton.
Spring/Summer 2025 3 Yankton Medical Clinic’s Ambulatory Surgical Center has been named a Best Ambulatory Surgery Center in colonoscopy and endoscopy by U.S. News & World Report. It was the only Ambulatory Surgery Center in South Dakota to earn a High Performing rating. U.S. News & World Report released the rankings after reviewing over 2,000 Ambulatory Surgery Centers (ASCs) in the United States and surveying over 3 million ASC patients. Yankton Medical Clinic’s ASC is one of only 249 of the 2,000 ASCs reviewed that received High Performing status. Award-winning care Colonoscopy is an important screening for people age 45 and older. With a Best Ambulatory Surgery Center in colonoscopy and endoscopy located on-site at YMC, area residents can trust that they will receive the highest quality of care for these procedures. Yankton Medical Clinic’s ASC has three general surgeons on staff to perform these outpatient surgeries. “We are thrilled with the U.S. News & World Report Best Ambulatory Surgery Center in colonoscopy and endoscopy ranking!” says Becky McManus, CEO of Yankton Medical Clinic. “We congratulate Lori Smith, Manager of the ASC, and our nurses, surgical technicians, sterile processing employees, anesthesiologists and surgeons.” “They truly collaborate to ensure every patient receives extraordinary care,” McManus continues. “I often hear how grateful our patients are for U.S. senator takes a tour of YMC Mike Rounds, U.S. Senator for South Dakota, made a stop at Yankton Medical Clinic. Welcoming Sen. Rounds were Becky McManus, CEO; Brent Adams, MD, ABOS, orthopedic surgeon and president of the Yankton Medical Clinic board of directors; and Dillon Hinker, COO. Top row, from left: Justin Kronizal, Surgical Technician; Kim Borchert, sterile processing department; Dawn Styles, RN; Natalie Gross, RN; Dani Lucas, RN; Emmalea Eckmann, RN; Rhonda Kocer, Pre-Certification Coordinator; Becky Zoller, RN; Dani Syrovatka, RN; Paige Johnson, Surgical Technician; Tessa Pedersen, Certified Surgical Technician; and Lori Smith, RN, Ambulatory Surgical Center Manager. Bottom row, from left: Brittni Riibe, CRNA; Alan Engbretson, CRNA; Gretchen O’Reilly, RN; Baillee Mann, sterile processing department; Christine Kronizal, Surgical Technician; Meg Malloy, RN; and Randi Willms, RN. (Not pictured: Cyndi Green, RN.) the warm and personal attention they receive at our ASC. Thank you to our team for achieving this milestone.” Safe, convenient and cost-effective surgeries The Yankton Medical Clinic ASC is a perfect option for patients who require minimally invasive procedures or outpatient surgical care. Learn about our hightech operating rooms, specially trained team and the procedures we offer by clicking the “Ambulatory Surgical Center” link in “Health Services” at yanktonmedicalclinic.com. YMC Ambulatory Surgical Center rated ‘Best’ by U.S. News & World Report
4 yanktonmedicalclinic.com New Year brings New Way to Pay Yankton Medical Clinic continues to look for ways to provide an exceptional patient experience. If patients have a balance, they will receive an email with an easy, convenient, secure and unique electronic payment link to pay their bill directly online. In addition, YMC patients will be able to view their bill details online. Yankton Medical Clinic continues to look for ways to provide an exceptional patient experience. Adopting the new electronic payment system gives patients an easy and convenient way to pay their medical bills. As always, patients with any questions are encouraged to call YMC at 605-665-7841. Welcome, new physicians! For almost 80 years, Yankton Medical Clinic has consistently provided the highest quality, top-ranking specialists to meet the health needs of our community. We are excited to share the addition of three highly esteemed physicians, coming soon. Our fivestar-rated physician team joins in the excitement of bringing these specialists to our area, where we will continue to work together to provide you and your family with So Much Care, So Close to Home! Watch for an email 1104 West 8th St., Yankton, SD 57078 www.YanktonMedicalClinic.com Clinic Hours: 8 a.m. TO 5:30 p.m. MONDAY-FRIDAY watch for email or text Local physician named a fellow of ACOI Yankton Medical Clinic’s Amanda Sedlacek, DO, FACOI, MSA, was one of 38 physicians from across the United States inducted as fellows of the American College of Osteopathic Internists during the ACOI 2024 Convocation and Awards Ceremony. To apply for the fellow distinction, candidates must be nominated by a standing fellow and endorsed by a second physician colleague (who may or may not be a fellow). Dr. Sedlacek is board-certified in internal medicine and palliative care and is accepting new adult patients at her practice at Yankton Medical Clinic. For an appointment, call 605-665-1722. Ben Lancaster, MD Orthopedics—2025 Jordyn Kreutzfeldt, MD Oncology—2026 Nicholas Pekas, MD Neurology—2026 Amanda Sedlacek, DO, FACOI, MSA Easy Convenient Secure View and pay your bill online
Spring/Summer 2025 5 Dr. Pietila honored as Top Physician for second year in a row Michael Pietila, MD, FCCP, FACP, a Yankton Medical Clinic physician board-certified in pulmonology and critical care, was once again presented with a prestigious award from Avera Home Medical Equipment (AHME). Jeff Hart, with AHME, presented the Top Physician award to Dr. Pietila in 2024, for the second consecutive year. Hart explains: “For our fiscal year 2024, which ended in September, Dr. Pietila was the Top Physician of the Year, though he is not affiliated with the Avera system. Our Home Medical Equipment division consists of 1,200 Avera physicians, plus an additional 600 physicians, like Dr. Pietila, who are not affiliated with Avera. Dr. Pietila was the Top Physician in key indicators for AHME.” Top-notch team “We congratulate Dr. Pietila on being the Top Physician out of 1,800 physicians. What a welldeserved honor for him,” says Becky McManus, CEO of Yankton Medical Clinic. “Dr. Pietila, along with our entire pulmonology team, provides high-quality care to our patients, both in Yankton and through outreach locations. We are fortunate to have an entire pulmonology team led by an expert like Dr. Pietila.” The pulmonology team at Yankton Medical Clinic includes Linda Reese, PA-C, along with two registered respiratory therapists. Reese provides clinical care for patients with any respiratory complaint, including smoking cessation, as an extension of YMC’s pulmonary care practice under Dr. Pietila’s supervision. The team provides evidence-based treatment options to help patients reach their goals and breathe easier. They provide full pulmonary function testing, imaging and sleep medicine services in the Yankton clinic, eliminating the need for patients to travel to receive the same services. Breathe easier Linda Reese, PA-C, sees patients in Yankton and Vermillion. Dr. Pietila also sees patients in Yankton and provides outreach in Norfolk and O’Neill, Nebraska, and in Parkston, South Dakota. No referral is necessary to schedule an appointment with our pulmonary department. Simply call 605-665-1152. Michael Pietila, MD, FCCP, FACP, receives the Top Physician of the Year award from Avera representatives.
6 yanktonmedicalclinic.com Yankton Medical Clinic, P.C. 1104 W. 8th St., Yankton, SD 57078 Primary Care Specialty Care FAMILY MEDICINE AUDIOLOGY CARDIOLOGY EAR, NOSE AND THROAT NEPHROLOGY ORTHOPEDIC SURGERY PALLIATIVE MEDICINE McKenzie Hanson, MD* 605-665-8910 Elizabeth Nicholas, MD* 605-665-8910 Carrissa Pietz, MD* 605-665-8910 Abigail Reynolds, MD* 605-665-8910 Jordan Schild, MD* 605-665-8910 Scott Weber, DO+ 605-665-8910 Jennifer McGinnis, CNP 605-665-8910 Beth Beeman, AuD, CCC-A, FAAA 605-665-0062 Jason R. Howe, MS, FAAA, CCC-A 605-665-0062 Tim Irwin, MD, FACC* 605-664-2741 DERMATOLOGY Scott Kindle, MD* 605-664-2741 David Abbott, MD* 605-665-0062 Byron S. Nielsen, MD* 605-665-1082 Jeremy Kudera, MD, ABOS* 605-665-1722 Dawn Lauer, MPAS, PA-C 605-665-1722 PHYSICAL MEDICINE Judith R. Peterson, MD* 605-665-1152 RADIOLOGY Ben LaCrosse, MD* 402-379-2349 Will R. Eidsness, MD* 605-665-7841 UROLOGY Christopher Hathaway, MD, PhD* 605-664-2742 Haley Schroeder, MPAS, PA-C 605-664-2742 Brent Adams, MD, ABOS* General Orthopedics and Spine Specialist 605-665-1722 Tom Viereck, CNP 605-665-1722 Amanda Sedlacek, DO, FACOI, MSA* 605-665-1722 Becky Sawatzke, PA-C 605-665-1152 Leann Bassing, MD* 605-665-1722 RHEUMATOLOGY OBSTETRICS AND GYNECOLOGY Kevin Bray, MD, FACOG* 605-665-5538 Emma Bye, MD, FACOG* 605-665-5538 Amy M. Eichfeld, MD, FACOG* 605-665-5538 Spencer Ferrell, MD, FACOG* 605-665-5538 Jill F. Sternquist, MD, FACOG* 605-665-5538 Visit yanktonmedicalclinic.com/scheduling and follow the prompts. INTERNAL MEDICINE Venkata Pajjuru, MD, FACC* 605-664-2741 PULMONOLOGY Linda Reese, MPAS, PA-C 605-665-1152 Michael P. Pietila, MD, FCCP, FACP* Critical Care 605-665-1152 Liz Wortmann, CNP 605-664-2741 Self-schedule your appointment online! Sarah Arens, MPAS, PA-C 605-665-1152
Spring/Summer 2025 7 Vermillion Medical Clinic INTERNAL MEDICINE Susan E. Fanta, MD* 605-665-1082 Jennifer Fillaus, DO* 605-665-1082 Tyler Hanson, MD* 605-665-1082 Martha Holstein, MD, FACP, FAAP* 605-665-1152 Daniel J. Megard, MD, FACP* 605-665-1152 Amanda Sedlacek, DO, FACOI, MSA* 605-665-1722 Robert Nicholas, MD* 605-665-0062 GERIATRICS Jennifer Fillaus, DO* 605-665-1082 Amy Fluit, MPAS, PA-C 605-624-8643 *Board-certified +Board-eligible GENERAL SURGERY Jesse L. Kampshoff, MD* 605-664-2742 Luke C. Serck, MD* General and Vascular Surgery Specialist 605-664-2742 Ryan J. Garry, MD, FACS* General and Breast Surgery Specialist 605-664-2742 PEDIATRICS Martha Holstein, MD, FACP, FAAP* 605-665-1152 Dawn M. Larson, MD+ 605-665-5538 Sara Pepper, MD, FAAP* 605-665-5538 April K. Willman, MD, FAAP* 605-665-5538 101 S. Plum St., Vermillion, SD 57069 David W. Withrow, MD, FAAP+ 605-665-5538 Matthew D. Krell, MD, FAAP,* Pediatrics 605-624-8643 Michelle Chaussee, MPAS, PA-C 605-624-8643 Ashley Johnson, MPAS, PA-C 605-624-8643 Pharmacy hours have been extended! Monday through Friday: 8:30 a.m. to 8 p.m. Saturday: 8:30 a.m. to 4 p.m. Sunday: Noon to 4 p.m. Call 605-665-2929 for your refills. Drive-thru service available. Yankton Medical Clinic, P.C., Norfolk Alan Spanel, MD* Internal Medicine 402-316-4606 Kelly Jueden, CNP Family Medicine 402-316-4606 Erin Wolf, AuD, CCC-A, FAAA, Audiologist 402-844-8110 Charles Harper, MD* Internal Medicine 402-316-4606 Brian Kim, AuD, CCC-A, FAAA, Audiologist 402-844-8110 3901 W. Norfolk Ave., Norfolk, NE 68701 Ben LaCrosse, MD* Radiologist 402-379-2349 TAKE NOTE!
8 yanktonmedicalclinic.com Yankton teacher and track coach Chris Hovden was 48 years old when he went to see his primary care provider, Jordan Schild, MD, at Yankton Medical Clinic for a routine physical. Dr. Schild told Hovden he was about three years behind on getting his first colonoscopy and that he shouldn’t put it off any longer. Fortunately, Hovden listened. “To be quite honest with you, this isn’t exactly what I do,” he says about discussing his medical situation. “Very few people actually know that I had cancer. Several more will know now. As I was asked to do this, my thought is, ‘There’s a reason, and I need to get my story out there.’” Hovden’s story isn’t unique, but it’s important to acknowledge the importance of screening colonoscopies once people turn 45. Hovden scheduled a colonoscopy with YMC surgeon Ryan Garry, MD, in March 2024. It’s a good thing he didn’t wait another year. “They found some polyps, two of which were removed at the time ‘I need to get my story out YHS coach advocates for the importance of not putting off getting a colonoscopy of the colonoscopy,” Hovden says. “Two were larger and in kind of a bad spot, so they could not be removed during the procedure. They removed what they could, sent that into pathology and it came back clean.” ‘I’m very lucky’ In May, Hovden returned for surgery to remove the polyps they couldn’t remove during his colonoscopy. This time, the results weren’t great, but they could have been much worse. He explains: “They took lymph glands and a section of my colon and sent it in for pathology. That report came back stating that I did have colon cancer, but it was very early stage. I’m very lucky to get it when I did.” Hovden says he was completely symptomless and had no idea anything was going on in his intestines. That’s common with colon cancer. According to the experts, if people start having symptoms from colon cancer, it’s probably fairly well advanced, as it is symptomless in its early stages. And that’s why colonoscopies are a vital tool in the fight against cancer. Detection and prevention YMC surgeons Jesse Kampshoff, MD, Luke Serck, MD, and Dr. Garry sat down with the Press & Dakotan to discuss the importance of screening colonoscopies. They agree that stories such as Hovden’s can have much different results. “The guidelines say that 45 is the proper age to get a baseline colonoscopy for an average-risk patient, and then follow that up every 10 years for that same average-risk patient,” Dr. Garry says. “Things that can change that schedule are polyps. If you have polyps, it depends on the type of polyp, the size of polyp and the number of polyps that could make it less than 10 years before the next one. It could be three, could By Jay Gravholt (republished with permission from the Yankton Daily Press & Dakotan, Nov. 23, 2024*) Chris Hovden, a Yankton school teacher and track coach, chats with surgeon Ryan Garry, MD, in an exam room at Yankton Medical Clinic. Hovden recently had his first colonoscopy, and he’s glad he did. Photo by Jay Gravholt, Yankton Daily Press & Dakotan
be five, could be seven, could even be just one, but that’s uncommon. “People who have a family history of colon cancer, their age is different,” he continues. “It’s age 40 or 10 years before the family member’s diagnosis, whichever comes first.” Dr. Serck explains how colonoscopies are much more than just a diagnostic test. “It’s the American College of Surgeons’ recommendation to not only detect but also prevent colon cancer, and it’s extremely important,” he says. “One of the beauties of a colonoscopy is it’s diagnostic and therapeutic at the same time.” While the surgeon is conducting the colonoscopy, the device’s technology allows the surgeon to remove the polyps as they’re found, in most instances. there’ Surgeons Luke Serck, MD; Ryan Garry, MD; and Jesse Kampshoff, MD, perform colonoscopies and other surgical procedures at Yankton Medical Clinic and are able to get patients in quickly. Photo by Jay Gravholt, Yankton Daily Press & Dakotan *Story reprinted with minor edits for clarity and publication style. —Continued on page 10 Better in the long run Many people dread preparing for the procedure. The day and night before a colonoscopy, the patient will fast and take prescribed laxatives that will clean out the colon prior to the procedure the next day. All three of the surgeons have gone through the procedure as well as performed them, so they understand the inconvenience. The bottom line, however, is that it’s really not a big deal— especially compared to colon cancer. “One of the things that happens when people don’t want to do it is that when they finally do and we find cancer, now you need to be prepped a bunch of times, or we see big polyps or numerous polyps that are going to take multiple colonoscopies to treat,” Dr. Serck says. “You maybe didn’t want to do it at 45, but then you did it at 65 and now you may need one every year for five years to kind of get caught up. I’m not sure patients always understand that.” “You have this done at 45. I nipped off a Tic Tac-sized polyp, and you’re good for five to 10 years,” he continues. “Your next one may be normal, and now you’re every 10 years. [Putting off a colonoscopy] can honestly lead to more down the road.” Dr. Kampshoff says he understands the stigma around the procedure because no one likes the bowel prep and the thought of what’s happening. He states: “I do think people sometimes get more embarrassed than they should be about having this done. We’ve all done it. The prep is not ideal, but it’s a tolerable thing to do and not that difficult. You sleep through the procedure. The vast majority of patients who do it realize it Spring/Summer 2025 9
10 yanktonmedicalclinic.com wasn’t as bad as they thought it was going to be.” ‘This saves lives’ “If I can help someone who’s on the fence about having a colonoscopy or they’re worried about it and thinking they’ll put it off further, I would say better safe than sorry,” Hovden says. “I had no symptoms whatsoever. I should have had it at 45. I have had friends that have had colon cancer at a young age. I was very much of the opinion it wouldn’t happen to me. For some reason, I decided this March I was going to do it even though I had no symptoms.” All three doctors point out that most insurance companies fully cover colonoscopies and that the effort is well worth it in the end. “The fact of the matter is that this saves lives, and people need to do it,” Dr. Kampshoff says. Take action now— don’t let another year pass you by! If you’re 45 or older and at average risk for colon cancer, it’s time for a colonoscopy. It’s simple to schedule a colonoscopy at Yankton Medical Clinic. Just call 605-664-2742. —Continued from page 9 ‘I need to get my story out there’ Your colonoscopy If you’re 45 and haven’t had a colonoscopy yet, it’s time to start getting them scheduled. A colonoscopy helps prevent and detect colon cancer. It allows doctors to remove polyps (growths) in the colon or rectum before they turn into cancer. If cancer has developed, the screening test may help your provider find it early, when treatment is most likely to be successful. What is getting a colonoscopy like? Here are seven things to know. things to know 1 There’s homework. Before a colonoscopy, follow your doctor’s “bowel prep” directions, which may involve taking laxatives and drinking plenty of water for a day or so. The goal is to clean out your colon so your provider can see clearly during the test. 2 A colonoscopy doesn’t take long. The test itself lasts about 30 minutes. It’s an outpatient procedure. You won’t need to stay overnight in a hospital. 3 You’ll need to fast. By a certain time before the test, you will be instructed to avoid eating or drinking anything. 4 You won’t feel it. During the test, you will be asked to lie on your side. Your doctor will insert a colonoscope—a thin, flexible tube—into the rectum and pass it through the entire colon. But it won’t hurt. In fact, you may not even feel or remember it, because you will be sedated. 5 Colonoscopy is safe. Complications are rare. 6 You’ll need a ride home. Since you will be sedated during your colonoscopy, it won’t be safe to drive right after it. 7 You won’t need to repeat the test often. If polyps aren’t present, you can wait as long as 10 years before your next colonoscopy. If polyps were present, ask your doctor when you’ll need to repeat the test. Ask your provider when you should start having colonoscopies. Need a checkup? Your primary care provider can help you get the care you need to stay well, like scheduling a colonoscopy. Don’t have a doctor? Turn to our directory on pages 6 and 7 or the back page. You can also use our “Find a Provider” tool at yanktonmedicalclinic.com/ find-a-provider.
‘I found a unicorn’ “I made a trip to Niobrara [State] Park and started having shortness of breath and raspy breathing. We drove over to Yankton Medical Clinic, who had a Dr. on call. I was thoroughly evaluated within 20 min. by Dr. Pietz, who noted a heart murmur (never picked up before). Over the next 2.5 hrs., I underwent numerous tests and procedures. I ended up in Dr. Irwin’s office, who along with Dr. Pietz accurately diagnosed me with mitral valve prolapse. Dr. Irwin left the room for 5 min. and returned to tell me I had an appointment next week with a highly reputable heart surgeon in my hometown of Omaha. Not only did I somehow land in a well-trained cardiologist’s office, but Dr. Irwin took a lot of time to explain everything to me in understandable language. He’s even a cardiologist with a decent sense of humor. I guess you could say I found a unicorn. I’m now a few weeks out of open-heart surgery and feeling great. I am extremely fortunate to have found Yankton Medical Clinic.” —verified Rater8 patient Remembering meant everything A patient called to express her gratitude and sincere appreciation for the nurses who cared for her in the Ambulatory Surgical Center. She stated they were extremely caring and were with her through the whole process. The one thing she was most grateful for was that the nurses remembered her and her husband. Her husband had recently passed, which the nurses were unaware of, but they sat with her and cried with her and were so extremely caring and empathetic in that moment. She explained that “our greatest fear is that we will not be remembered when we pass,” so the nurses remembering her husband meant everything to her. She also stated that she had a similar experience with Scott Weber, DO, and Spencer Ferrell, MD, where they also sat with her and remembered her husband, which were priceless moments for her. She said she had been a part of many other health care organizations throughout the country, and Yankton Medical Clinic delivers top-notch, second-to-none care. She concluded that we should be extremely proud of the quality of care that our team delivers daily. —verified patient call Exceptional patient experiences are Yankton Medical Clinic priority The culture of Yankton Medical Clinic is to create exceptional experiences for our patients, who have entrusted their health care journey to our clinic. Your feedback helps us know how to best serve your medical needs. In 2024, we are humbled to say we received over 14,000 patient reviews. Thank you for taking the time to share your stories and your heartfelt comments. It’s our honor to share two patient experiences below. Spring/Summer 2025 11 Your experience is of the utmost importance Throughout our clinic, you will find “Make a Difference” cards. If a YMC staff member has made an impact on your visit, we encourage you to complete a card and turn it in to any reception area. In addition, you may receive a request for a review following your appointment. We appreciate your review.
1104 West 8th Street Yankton, SD 57078 Standard U.S. Postage PAID Walla Walla, WA Permit No. 44 Nebraska Creighton, NE Avera Creighton Hospital 402-358-5700 ● Jesse Kampshoff, MD* General Surgery Norfolk, NE Yankton Medical Clinic, P.C.–Norfolk 402-844-8110 ● David Abbott, MD* Ear, Nose and Throat ● Jennifer Fillaus, DO* Nephrology ● Ryan J. Garry, MD, FACS* General and Breast Surgery ● Christopher Hathaway, MD, PhD* Urology ● Robert Nicholas, MD* Ear, Nose and Throat ● Michael Pietila, MD, FCCP, FACP* Pulmonology Care near youWe provide specialty care in 14 locations outside of Yankton. O’Neill, NE Avera St. Anthony’s Hospital Specialty Clinic 402-336-5122 ● Byron Nielsen, MD* Nephrology ● Michael Pietila, MD, FCCP, FACP* Pulmonology ● Amanda Sedlacek, DO, FACOI, MSA* Palliative Medicine (telehealth visits) Osmond, NE Osmond General Hospital 402-748-3393 ● Jesse Kampshoff, MD* General Surgery Plainview, NE Plainview Area Health System 402-582-4245 ● Jesse Kampshoff, MD* General Surgery ● Byron Nielsen, MD* Nephrology Santee, NE Santee Outreach Clinic 402-857-2300 ● Spencer Ferrell, MD, FACOG* Obstetrics-Gynecology ● Byron Nielsen, MD* Nephrology ● Sara Pepper, MD* Pediatrics South Dakota Freeman, SD Freeman Regional Health Services 605-925-4219 ● Jill F. Sternquist, MD, FACOG* Obstetrics-Gynecology Gregory, SD Avera Gregory Hospital 605-835-8394 ● Kevin Bray, MD, FACOG* Obstetrics-Gynecology ● Amanda Sedlacek, DO, FACOI, MSA* Palliative Medicine (telehealth visits) Parkston, SD Avera St. Benedict Health Center 605-928-3311 ● Michael Pietila, MD, FCCP, FACP* Pulmonology Sioux Falls, SD Royal C. Johnson Veterans' Memorial Hospital 605-336-3230 ● Leann Bassing, MD* Rheumatology Tyndall, SD Bon Homme Family Practice Clinic 605-589-3322 ● Ryan J. Garry, MD, FACS* General and Breast Surgery Vermillion, SD Vermillion Medical Clinic 605-624-8643 ● Amy M. Eichfeld, MD, FACOG* Obstetrics-Gynecology ● Jason Howe, MS, FAAA, CCC-A Audiology ● Jesse Kampshoff, MD* General Surgery ● Jeremy Kudera, MD, ABOS* Orthopedic Surgery ● Robert Nicholas, MD* Ear, Nose and Throat ● Byron Nielsen, MD* Nephrology ● Venkata Pajjuru, MD, FACC* Cardiology ● Linda Reese, MPAS, PA-C Pulmonology ● Jill F. Sternquist, MD, FACOG* Obstetrics-Gynecology Wagner, SD Wagner Community Avera ● Brent Adams, MD, ABOS* Orthopedic Surgery 605-665-1722 ● Byron Nielsen, MD* Nephrology 605-665-1082 ● Venkata Pajjuru, MD, FACC* Cardiology Wagner Indian Health Service Clinic ● Emma Bye, MD, FACOG* Obstetrics-Gynecology 605-384-3621 *Board-certified +Board-eligible Contact your pharmacy directly for prescription refills.
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