Mindy Baccam Southammavong, PA-C - Medicare in Pella, IA

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Mindy Baccam Southammavong, PA-C is a medicare enrolled "Physician Assistant - Medical" in Pella, Iowa. Her current practice location is 405 Monroe St, Pella, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 621-2200.

Mindy Baccam Southammavong is licensed to practice in Iowa (license number 078982) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528434859.

Contact Information

Mindy Baccam Southammavong, PA-C
405 Monroe St,
Pella, IA 50219-1189
(641) 621-2200
(641) 621-2335

Map and Direction




Provider's Profile

Full NameMindy Baccam Southammavong
GenderFemale
Speciality
Experience Years
Location405 Monroe St, Pella, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mindy Baccam Southammavong attended and graduated from in
  NPI Data:
  • NPI Number: 1528434859
  • Provider Enumeration Date: 08/20/2015
  • Last Update Date: 05/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mindy Baccam Southammavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528434859NPI-NPPES
1528434859OtherIANPI NUMBER
078982OtherIAIOWA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 078982 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mindy Baccam Southammavong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Pella, IA

Jenna Kay Zoss, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 404 Jefferson St, Pella, IA 50219
Phone: 641-621-2200    
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
Kimberly Sue Funston, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 405 Monroe St, Pella, IA 50219
Phone: 641-621-2200    Fax: 641-621-2335

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.