| David Wr Dierks, DO | |
|
1227 E Rusholme St, Davenport, IA 52803-2459 | |
| (563) 421-7701 | |
| Not Available |
| Full Name | David Wr Dierks |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1227 E Rusholme St, Davenport, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457519191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R-8344 (Iowa) | Secondary |
| 207P00000X | Emergency Medicine | 4042 (Iowa) | Primary |
| Entity Name | Peoples Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336281245 PECOS PAC ID: 9931010790 Enrollment ID: O20031118000161 |
| Entity Name | St Lukes Jones Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942397328 PECOS PAC ID: 4688572811 Enrollment ID: O20031226000198 |
| Entity Name | Jackson County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689705949 PECOS PAC ID: 1254248958 Enrollment ID: O20040120000117 |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
| Entity Name | East Central Iowa Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386611291 PECOS PAC ID: 5496748857 Enrollment ID: O20040403000223 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wr Dierks, DO 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (602) 770-4373 | David Wr Dierks, DO 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 421-7701 |
Nicklas Dean Beck, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Brian E Payden, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 970-577-1427 | |
Dr. Michelle Yvonne Yates, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-7681 | |
Dr. Joanne M Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1351 W Central Park Ave Ste 1225, Davenport, IA 52804 Phone: 563-421-1585 Fax: 563-421-1595 | |
Dr. Artika Shah, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Dr. Douglas Hamilton Gaither, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5820 Belle Ave, Davenport, IA 52807 Phone: 615-516-4291 | |
Dr. Destinee Therese Delemos, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-6610 Fax: 563-421-7719 |