| Samantha Marie Banser Bissen, DO | |
|
101 E J Ave Ste 120, Grundy Center, IA 50638-2004 | |
| (319) 824-6945 | |
| Not Available |
| Full Name | Samantha Marie Banser Bissen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 101 E J Ave Ste 120, Grundy Center, 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 |
|---|---|---|---|
| 1245769249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-05233 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unitypoint At Home | Waterloo, IA | Home health agency |
| Grundy County Memorial Hospital | Grundy center, IA | Hospital |
| Allen Hospital | Waterloo, IA | Hospital |
| Unitypoint Health-marshalltown | Marshalltown, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Unitypoint Health - Marshalltown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Marie Banser Bissen, DO 101 E J Ave Ste 120, Grundy Center, IA 50638-2004 Ph: () - | Samantha Marie Banser Bissen, DO 101 E J Ave Ste 120, Grundy Center, IA 50638-2004 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 | |
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 | |
Eric F Opheim, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 E 1st St, Grundy Center, IA 50638 Phone: 319-824-6945 Fax: 319-824-6947 |