| Mindy Baccam Southammavong, PA-C | |
|
405 Monroe St, Pella, IA 50219-1189 | |
| (641) 621-2200 | |
| (641) 621-2335 |
| Full Name | Mindy Baccam Southammavong |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 405 Monroe St, Pella, 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 |
|---|---|---|---|
| 1528434859 | NPI | - | NPPES |
| 1528434859 | Other | IA | NPI NUMBER |
| 078982 | Other | IA | IOWA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 078982 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pella Regional Health Center | Pella, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pella Regional Health Center | 9931005873 | 82 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy Baccam Southammavong, PA-C 405 Monroe St, Pella, IA 50219-1189 Ph: (641) 621-2200 | Mindy Baccam Southammavong, PA-C 405 Monroe St, Pella, IA 50219-1189 Ph: (641) 621-2200 |
Jenna Kay Zoss, Physician Assistant Medicare: Medicare Enrolled Practice Location: 404 Jefferson St, Pella, IA 50219 Phone: 515-306-8081 | |
Linda Steimling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-621-2200 Fax: 641-621-2335 | |
Nicholas Van Beek, Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-621-2200 | |
Mrs. Julie A Lautenbach, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-621-2335 | |
Jennifer L Wadle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-628-8894 | |
Marsha Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-620-2035 Fax: 641-621-2632 |