| Dr Matthew C Christophersen, MD | |
|
1228 E Rusholme St, Ste 3020, Davenport, IA 52803 | |
| (563) 823-9300 | |
| (563) 823-9330 |
| Full Name | Dr Matthew C Christophersen |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 1228 E Rusholme St, 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 |
|---|---|---|---|
| 1629048939 | NPI | - | NPPES |
| 0237826 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34039 (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 |
|---|---|---|
| Genesis Health System | 6103829338 | 203 |
| Genesis Health System | 7214841436 | 187 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044 |
| Entity Name | Mercy Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832764 PECOS PAC ID: 3375639586 Enrollment ID: O20071019000139 |
| 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 |
|---|---|
| Dr Matthew C Christophersen, MD 1228 E Rusholme St, Ste 3020, Davenport, IA 52803 Ph: (563) 823-9300 | Dr Matthew C Christophersen, MD 1228 E Rusholme St, Ste 3020, Davenport, IA 52803 Ph: (563) 823-9300 |
Dr. Michael A Phelps, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 Phone: 563-823-9300 Fax: 563-823-9330 | |
Dr. Fang Yuan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1230 E Rusholme St Ste 303, Davenport, IA 52803 Phone: 563-421-4320 Fax: 563-421-4329 | |
Robert E. Harson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 Phone: 563-823-9300 Fax: 563-823-9330 | |
Kenneth John Hartman Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1228 E Rusholme St, Ste 302, Davenport, IA 52803 Phone: 563-823-9300 Fax: 563-823-9330 | |
Faraz Ahmed Khan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Dr. William E. Olson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Dexter Ct, Suite 118, Davenport, IA 52807 Phone: 563-344-8333 Fax: 563-344-8334 | |
Dr. David J Aanestad, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 Phone: 563-823-9300 Fax: 563-823-9300 |