| Mara Groom Hermiston, DO | |
|
2301 Highway 71 Ste C, Spirit Lake, IA 51360-1253 | |
| (712) 336-3750 | |
| Not Available |
| Full Name | Mara Groom Hermiston |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 2301 Highway 71 Ste C, Spirit Lake, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437599297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R-9859 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakes Regional Healthcare | Spirit lake, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakes Regional Healthcare | 0941118442 | 31 |
| Entity Name | Lakes Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336291160 PECOS PAC ID: 0941118442 Enrollment ID: O20031223000386 |
| Entity Name | Avera Holy Family |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124056338 PECOS PAC ID: 7113837428 Enrollment ID: O20040205000405 |
| Entity Name | Siouxland Medical Education Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336127828 PECOS PAC ID: 6608761101 Enrollment ID: O20040216000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Groom Hermiston, DO 2301 Highway 71 Ste C, Spirit Lake, IA 51360-1253 Ph: (712) 336-3750 | Mara Groom Hermiston, DO 2301 Highway 71 Ste C, Spirit Lake, IA 51360-1253 Ph: (712) 336-3750 |
Dr. Bradley Russell Meyer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2301 Highway 71 Ste C, Spirit Lake, IA 51360 Phone: 712-336-3750 Fax: 712-336-3730 | |
Whitney Nelson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Highway 71, Spirit Lake, IA 51360 Phone: 712-336-1230 | |
Zachary A Borus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 23rd St, Spirit Lake, IA 51360 Phone: 712-336-2410 | |
Dr. Jeffrey John Goerss, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 23rd St, Spirit Lake, IA 51360 Phone: 712-336-2410 Fax: 712-336-3241 | |
Timothy J Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 23rd St, Ste C, Spirit Lake, IA 51360 Phone: 712-336-3750 Fax: 712-336-3730 | |
Dr. Brett Joel Olson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 23rd St, Spirit Lake, IA 51360 Phone: 712-336-2410 Fax: 712-336-3241 |