| Benjamin W Ross, MD | |
|
105 E. Main Street, Waukon, IA 52172-1735 | |
| (563) 568-3449 | |
| Not Available |
| Full Name | Benjamin W Ross |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 105 E. Main Street, Waukon, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013177484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38665 (Iowa) | Primary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20040311001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin W Ross, MD 105 E. Main Street, Waukon, IA 52172-1735 Ph: (563) 568-3449 | Benjamin W Ross, MD 105 E. Main Street, Waukon, IA 52172-1735 Ph: (563) 568-3449 |
Kenneth R Olson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Waukon, IA 52172 Phone: 563-568-3449 Fax: 563-568-4947 | |
Amanda Lynn Dolley, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 120 2nd Ave Se, Waukon, IA 52172 Phone: 635-683-3000 | |
Dr. Andrea Lynn Venteicher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 2nd Ave Se, Waukon, IA 52172 Phone: 563-568-3000 Fax: 563-568-3337 |