| John C Ciaccio, MD | |
|
4600 3rd St, Moline, IL 61265-6106 | |
| (309) 779-2031 | |
| (309) 779-3579 |
| Full Name | John C Ciaccio |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 29 Years |
| Location | 4600 3rd St, 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 |
|---|---|---|---|
| 1932168457 | NPI | - | NPPES |
| 0283515 | Medicaid | IA | |
| 31116 | Other | IA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34523 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Rock Island | Rock island, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Robert Young Center For Community Mental Health | 4587600150 | 54 |
| The Robert Young Center For Community Mental Health | 4587600150 | 54 |
| Entity Name | The Robert Young Center for Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972272516 PECOS PAC ID: 4587600150 Enrollment ID: O20211208003044 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Ciaccio, MD 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-2031 | John C Ciaccio, MD 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-2031 |
Dr. Gonchigari Narayana, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4350 7th Street A, Moline, IL 61265 Phone: 566-355-9191 Fax: 563-355-3419 |
Dr. Michael L Cullen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4326 7th St, Moline, IL 61265 Phone: 309-797-6611 Fax: 309-797-7181 |
Dr. Bassam A Assaf, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4370 7th St, Moline, IL 61265 Phone: 309-517-6891 Fax: 309-517-6895 |
Dr. Eric Ritterhoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 |
Brian J Anseeuw, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 550 30th Ave Ste 2and3, Moline, IL 61265 Phone: 309-236-2411 Fax: 309-764-7144 |
Al R Doyle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 111 19th Ave, Moline, IL 61265 Phone: 309-757-0300 Fax: 309-757-0400 |
Dr. Dewat R Chaudhry, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 616 35th Ave, Suite 3, Moline, IL 61265 Phone: 309-764-2994 Fax: 309-764-2996 |