Mindy Baccam Southammavong, PA-C
Mindy Baccam Southammavong, PA-C is a Physician Assistant in Pella, Iowa. Qualified in 2015, 11 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa.
- Years since qualifying
- 11
- Licensed in
- IA
- In the registry since
- 2015
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
405 Monroe StPella, IA 50219-1189
Phone: (641) 621-2200
Fax: (641) 621-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 078982 (IA) |
|---|
Record details
| NPI number | 1528434859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 20, 2015 |
| Last updated in NPPES | May 1, 2017 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Iowa Physicians Clinic Medical Foundation — 1242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Pella
-
Marsha Collins, PA-C
405 Monroe St, Pella, IA 50219-1189 · (641) 620-2035
-
MS. Jordan Lea Greiner, PA-C
2605 Washington St Iowa Dermatology Inc, Pella, IA 50219-7924 · (641) 620-9119
-
Heather Marie Opseth, PHYSICIANASSISTANT
405 Monroe St, Pella, IA 50219-1189 · (641) 628-3832
-
Jennifer L Wadle, PA-C
405 Monroe St, Pella, IA 50219-1189 · (641) 628-3832