| James E Petre, MD | |
|
306 46th Ave, East Moline, IL 61244-4281 | |
| (309) 796-2329 | |
| (309) 796-1146 |
| Full Name | James E Petre |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 306 46th Ave, East Moline, Illinois |
| 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 |
|---|---|---|---|
| 1619973989 | NPI | - | NPPES |
| 020356 | Other | HEALTH ALLIANCE | |
| 036091692 | Medicaid | IL | |
| 20084 | Other | IOWA HEALTH SOLUTIONS | |
| 90722 | Other | WELLMARK BC/BS | |
| 0589291 | Medicaid | IA | |
| 4796890020 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036091692 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Vna | Bettendorf, IA | Home health agency |
| Genesis Hospice | Bettendorf, IA | Hospice |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Trinity - Rock Island | Rock island, IL | Hospital |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Milan Medical Group, Ltd | 1951293562 | 4 |
| Stone Ridge Medical Group Sc | 8729142534 | 6 |
| Entity Name | Milan Medical Group, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346362589 PECOS PAC ID: 1951293562 Enrollment ID: O20040329000251 |
| Entity Name | Stone Ridge Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306097894 PECOS PAC ID: 8729142534 Enrollment ID: O20090122000564 |
| Mailing Address | Practice Location Address |
|---|---|
| James E Petre, MD 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4159 Ph: (563) 355-9191 | James E Petre, MD 306 46th Ave, East Moline, IL 61244-4281 Ph: (309) 796-2329 |
Dr. Nancy J Short, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4360 Kennedy Dr, Suite 1, East Moline, IL 61244 Phone: 309-743-7313 Fax: 309-765-7999 | |
Anne M Petre, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 46th Ave, East Moline, IL 61244 Phone: 309-796-2329 Fax: 309-796-1146 | |
Dr. Anuradha Ranganath, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 15th Ave, East Moline, IL 61244 Phone: 563-336-3000 Fax: 563-336-3212 |