| Eric F Opheim, DO | |
|
606 E 1st St, Grundy Center, IA 50638-2046 | |
| (319) 824-6945 | |
| (319) 824-6947 |
| Full Name | Eric F Opheim |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 606 E 1st St, Grundy Center, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437138385 | NPI | - | NPPES |
| 5239582 | Medicaid | IA | |
| 4239582 | Medicaid | IA | |
| P00174839 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03462 (Iowa) | Primary |
| Entity Name | Mercy Medical Center New Hampton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679641419 PECOS PAC ID: 9032006325 Enrollment ID: O20040302000403 |
| Entity Name | Ida County Iowa Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265461180 PECOS PAC ID: 9537070826 Enrollment ID: O20061104000191 |
| Entity Name | Des Moines River Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720472442 PECOS PAC ID: 0143549634 Enrollment ID: O20150505001794 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric F Opheim, DO 606 E 1st St, Grundy Center, IA 50638-2046 Ph: (319) 824-6945 | Eric F Opheim, DO 606 E 1st St, Grundy Center, IA 50638-2046 Ph: (319) 824-6945 |
Charles J Latendresse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1506 G Ave, Grundy Center, IA 50638 Phone: 319-824-3181 Fax: 319-824-6680 | |
Samantha Marie Banser Bissen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E J Ave Ste 120, Grundy Center, IA 50638 Phone: 319-824-6945 | |
Dr. Frank Lee Lamp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 6th St, Grundy Center, IA 50638 Phone: 319-825-4441 Fax: 319-825-4440 |