| Mulumebet Haileselassie, MD | |
|
500 W River Dr, Davenport, IA 52801-1014 | |
| (563) 336-3000 | |
| (563) 336-3125 |
| Full Name | Mulumebet Haileselassie |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 500 W River Dr, Davenport, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912991928 | NPI | - | NPPES |
| 0080200 | Medicaid | IA | |
| 421060724002 | Medicaid | IL | |
| 8122859 | Other | IL | ILLINOIS BC/BS |
| 291468 | Other | IA | IOWA BC/BS |
| 42106072428 | Other | IA | JOHN DEERE HEALTH |
| 070573 | Other | HEALTH ALLIANCE # | |
| 1234295 | Other | IA | CONTROLLED SUBSTANCE# |
| IA0128 | Other | IA | JOHN DEERE EDI# |
| 421060724 | Other | IA | BILLING TAX ID# FOR CHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 27414 (Iowa) | Primary |
| 207V00000X | Obstetrics & Gynecology | 036-053422 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mulumebet Haileselassie, MD 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 | Mulumebet Haileselassie, MD 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 |
Dr. Harold L Mihm, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2322 E Kimberly Rd, Suite 30w, Davenport, IA 52807 Phone: 563-355-1853 Fax: 563-359-1512 | |
Clare Bevin Harney, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1510 E Rusholme St, Davenport, IA 52803 Phone: 563-336-3000 | |
Jana Van Rybroek, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5350 Eastern Ave, Davenport, IA 52807 Phone: 563-355-1853 | |
Paul K H Figge Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3400 Dexter Ct, Ste 100, Davenport, IA 52807 Phone: 563-355-2244 Fax: 563-344-6701 | |
Dr. Jennifer Christine Steines Wagemester, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5350 Eastern Ave, Davenport, IA 52807 Phone: 563-355-1853 Fax: 563-359-1512 | |
Johanna B Whalen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1230 E Rusholme St, Ste 301, Davenport, IA 52803 Phone: 563-322-9150 Fax: 563-322-9148 | |
Dr. Eugene L Kerns, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2322 E Kimberly Rd, Davenport, IA 52807 Phone: 563-355-1853 Fax: 563-355-0327 |