| Ms Kama Sarah Ausborn, ARNP | |
|
999 Home Plz Ste 301, Waterloo, IA 50701-4822 | |
| (319) 299-2864 | |
| (866) 761-0459 |
| Full Name | Ms Kama Sarah Ausborn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 999 Home Plz Ste 301, Waterloo, 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 |
|---|---|---|---|
| 1669056123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 141468 (Iowa) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G164101 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black Hawk-grundy Mental Health Center Inc | 1850280363 | 13 |
| Entity Name | Cedar Valley Medical Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
| Entity Name | Black Hawk-grundy Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316944598 PECOS PAC ID: 1850280363 Enrollment ID: O20040312000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kama Sarah Ausborn, ARNP Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Ms Kama Sarah Ausborn, ARNP 999 Home Plz Ste 301, Waterloo, IA 50701-4822 Ph: (319) 299-2864 |
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