| Dr Jason J Deutmeyer, MD | |
|
4480 Utica Ridge Rd, Suite 1124, Bettendorf, IA 52722-1656 | |
| (563) 742-5300 | |
| (563) 742-5305 |
| Full Name | Dr Jason J Deutmeyer |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 4480 Utica Ridge Rd, Bettendorf, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104899095 | NPI | - | NPPES |
| 036104564 | Medicaid | IA | |
| 1104899095 | Medicaid | IA | |
| IA01X2 | Other | JOHN DEERE | |
| 38078 | Other | BCWELLMARK | |
| P01205760 | Other | IA | RR MEDICARE |
| 1240812 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34035 (Iowa) | Primary |
| 208600000X | Surgery | 036104564 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity - Bettendorf | Bettendorf, IA | Hospital |
| Trinity - Rock Island | Rock island, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason J Deutmeyer, MD 4480 Utica Ridge Road, Suite 1124, Bettendorf, IA 52722-1626 Ph: (563) 742-5300 | Dr Jason J Deutmeyer, MD 4480 Utica Ridge Rd, Suite 1124, Bettendorf, IA 52722-1656 Ph: (563) 742-5300 |
Dr. John J Klosak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2101 Nicholas Ct, Bettendorf, IA 52722 Phone: 563-650-7355 | |
Dr. Isaac Hinton, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4480 Utica Ridge Rd Ste 1124, Bettendorf, IA 52722 Phone: 563-742-5300 Fax: 563-742-5305 | |
Dr. Afzal H Abdullah, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1075 Golden Valley Dr, Bettendorf, IA 52722 Phone: 563-328-5570 |