| Dr Kiwhoon Lee, MD | |
|
1401 W Central Park Ave, Davenport, IA 52804-1707 | |
| (563) 421-1901 | |
| Not Available |
| Full Name | Dr Kiwhoon Lee |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 17 Years |
| Location | 1401 W Central Park Ave, Davenport, 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 |
|---|---|---|---|
| 1568604916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036132512 (Illinois) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 40849 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quint Cities Radiation Oncology Ltd | 4688566003 | 4 |
| Quint Cities Radiation Oncology Ltd | 4688566003 | 4 |
| Entity Name | Quint Cities Radiation Oncology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750459 PECOS PAC ID: 4688566003 Enrollment ID: O20040329001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kiwhoon Lee, MD Po Box 115, Hiawatha, IA 52233-0115 Ph: (319) 826-3763 | Dr Kiwhoon Lee, MD 1401 W Central Park Ave, Davenport, IA 52804-1707 Ph: (563) 421-1901 |
Dr. Christine M Sharis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938 | |
John W Rogers, MD Radiology Medicare: Medicare Enrolled Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Jason Benjamin Mueller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159 | |
Andrew E Berkow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Dr. Antonio P Vigliotti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938 | |
Robert W Hartung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Joseph M Phelan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 |