| Ms Rose A Wallace, ARNP | |
|
865 Lincoln Rd Ste 100, Bettendorf, IA 52722-4159 | |
| (563) 355-1000 | |
| (563) 344-2975 |
| Full Name | Ms Rose A Wallace |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 865 Lincoln Rd Ste 100, Bettendorf, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518059971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | F078122 (Iowa) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Rose A Wallace, ARNP 865 Lincoln Rd Ste 100, Bettendorf, IA 52722-4159 Ph: (563) 355-1000 | Ms Rose A Wallace, ARNP 865 Lincoln Rd Ste 100, Bettendorf, IA 52722-4159 Ph: (563) 355-1000 |
Becky J Guthrie, FNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2884 Aaa Ct, Bettendorf, IA 52722 Phone: 563-296-3100 Fax: 833-907-2398 | |
Eduardo L Ricaurte, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4480 Utica Ridge Rd, Bettendorf, IA 52722 Phone: 563-355-9996 Fax: 563-355-9997 | |
Richard M Kishiue, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 865 Lincoln Rd, Ste 100, Bettendorf, IA 52722 Phone: 563-355-1000 Fax: 563-344-2975 | |
Dr. Abbi Ann Madden, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 865 Lincoln Rd Ste 100, Bettendorf, IA 52722 Phone: 563-355-1000 | |
Rebecca Sue Stein, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4480 Utica Ridge Rd, Ste 1140, Bettendorf, IA 52722 Phone: 563-742-5700 | |
Dr. Kristina Nicole Yoder, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4480 Utica Ridge Rd, Suite 1140, Bettendorf, IA 52722 Phone: 563-742-5700 Fax: 563-742-5705 |