| Mr Bryan David Sands, DO | |
|
3812 Pheasant Ln, Waterloo, IA 50701-5200 | |
| (319) 236-3444 | |
| (319) 236-0257 |
| Full Name | Mr Bryan David Sands |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 32 Years |
| Location | 3812 Pheasant Ln, Waterloo, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770548570 | NPI | - | NPPES |
| 070010603 | Other | IA | RR MDCR |
| 0151738 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 02896 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
| Allen Hospital | Waterloo, IA | Hospital |
| Waverly Health Center | Waverly, IA | Hospital |
| Sartori Memorial Hospital, Inc | Cedar falls, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Associates Pc | 0345132049 | 5 |
| Entity Name | Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629032404 PECOS PAC ID: 0345132049 Enrollment ID: O20040326001348 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan David Sands, DO 3812 Pheasant Ln, Waterloo, IA 50701-5200 Ph: (319) 236-3444 | Mr Bryan David Sands, DO 3812 Pheasant Ln, Waterloo, IA 50701-5200 Ph: (319) 236-3444 |
Mr. Kent P Ellerbroek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 541 King Dr, Waterloo, IA 50702 Phone: 319-235-6323 Fax: 319-235-0249 | |
Justin Craig Ellerbroek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3741 Pheasant Ln, Waterloo, IA 50701 Phone: 319-234-6000 Fax: 319-234-6001 |