| Steven L Baskerville, MD | |
|
2700 23rd St, Ste C, Spirit Lake, IA 51360-1158 | |
| (712) 336-3750 | |
| (712) 336-3730 |
| Full Name | Steven L Baskerville |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2700 23rd St, Spirit Lake, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770554925 | NPI | - | NPPES |
| 1135012 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29179 (Iowa) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L Baskerville, MD 2700 23rd St, Ste C, Spirit Lake, IA 51360-1158 Ph: (712) 336-3750 | Steven L Baskerville, MD 2700 23rd St, Ste C, Spirit Lake, IA 51360-1158 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 | |
Mara Groom Hermiston, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 Highway 71 Ste C, Spirit Lake, IA 51360 Phone: 712-336-3750 |