| Dr Roger L Lubbers, MD | |
|
608 35th Ave, Moline, IL 61265-6145 | |
| (309) 277-3500 | |
| (309) 277-3050 |
| Full Name | Dr Roger L Lubbers |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 608 35th Ave, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285606111 | NPI | - | NPPES |
| 03681676 | Medicaid | IL | |
| 12856061 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036-081676 (Illinois) | Primary |
| 208800000X | Urology | 29128 (Iowa) | Secondary |
| 208800000X | Urology | MD-29128 (Iowa) | Secondary |
| Entity Name | Resolve Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487634390 PECOS PAC ID: 7113815176 Enrollment ID: O20040310000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger L Lubbers, MD 608 35th Ave, Moline, IL 61265-6145 Ph: (309) 277-3500 | Dr Roger L Lubbers, MD 608 35th Ave, Moline, IL 61265-6145 Ph: (309) 277-3500 |
Dr. Brian P Engebrecht, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 608 35th Ave, Moline, IL 61265 Phone: 309-277-3500 Fax: 309-277-3050 | |
Dr. David Sigurd Petersen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2121 1st Street A, Moline, IL 61265 Phone: 309-764-9790 Fax: 309-526-8995 | |
Dr. Morris J Gist, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 608 35th Ave, Moline, IL 61265 Phone: 309-277-3500 Fax: 309-277-3050 |