| Mr Ricky Lee Sedgwick, DO | |
|
1227 East Rusholme Street, Davenport, IA 52803-2498 | |
| (563) 421-1000 | |
| (563) 421-7889 |
| Full Name | Mr Ricky Lee Sedgwick |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 1227 East Rusholme Street, 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 |
|---|---|---|---|
| 1689650905 | NPI | - | NPPES |
| 6125393 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 02932 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orange Coast Anesthesia Inc | 2466613591 | 87 |
| Entity Name | Orange Coast Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508138256 PECOS PAC ID: 2466613591 Enrollment ID: O20120417000047 |
| Entity Name | Willow Brook Critical Care Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811520224 PECOS PAC ID: 3476975319 Enrollment ID: O20200622002378 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ricky Lee Sedgwick, DO Po Box 2441, Davenport, IA 52809-2441 Ph: (563) 324-8160 | Mr Ricky Lee Sedgwick, DO 1227 East Rusholme Street, Davenport, IA 52803-2498 Ph: (563) 421-1000 |
Johanna Laidig, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Mr. Ilya B Volfson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Eunhea Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Dr. Stephen Thomas Delessio, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Mr. Johnny Edward Brian Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Sara Fay Reader, DO, MS Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Mr. Todd Jon Roehr, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 |