Thomas Robert Staley, MD - Medicare Family Practice in Davenport, IA

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Thomas Robert Staley, MD is a medicare enrolled "Family Medicine" physician in Davenport, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Iowa Physicians Clinic Medical Foundation, Iowa Physicians Clinic Medical Foundation and his current practice location is 1345 W Central Park Ave, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 421-4400.

Thomas Robert Staley is licensed to practice in Iowa (license number R8645) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174750855.

Contact Information

Thomas Robert Staley, MD
1345 W Central Park Ave,
Davenport, IA 52804-1844
(563) 421-4400
(563) 421-4449

Map and Direction




Physician's Profile

Full NameThomas Robert Staley
GenderMale
SpecialityFamily Practice
Experience15 Years
Location1345 W Central Park Ave, Davenport, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Robert Staley attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1174750855
  • Provider Enumeration Date: 06/19/2009
  • Last Update Date: 06/19/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3971790775
  • Enrollment ID: I20101206000930

Medical Identifiers

Medical identifiers for Thomas Robert Staley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174750855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R8645 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heartland Hospice ServicesDavenport, IAHospice
Hospice Compassus - Northwest IllinoisGalesburg, ILHospice
Unitypoint HospiceMoline, ILHospice
Genesis HospiceBettendorf, IAHospice
Hammond Henry HospitalGeneseo, ILHospital
Trinity - Rock IslandRock island, ILHospital
Manorcare Health Services-utica RidgeDavenport, IANursing home
Friendship ManorRock island, ILNursing home
Heartland Of MolineMoline, ILNursing home
Hillcrest HomeGeneseo, ILNursing home
Allure Of GeneseoGeneseo, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iowa Physicians Clinic Medical Foundation8729992318972
Iowa Physicians Clinic Medical Foundation8729992318972

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Robert Staley allows following entities to bill medicare on his behalf.
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20031118000363
Entity NameTrinity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033163829
PECOS PAC ID: 2264337518
Enrollment ID: O20040217000414

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Robert Staley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas Robert Staley, MD
1345 W Central Park Ave,
Davenport, IA 52804-1844

Ph: (563) 421-4400		Thomas Robert Staley, MD
1345 W Central Park Ave,
Davenport, IA 52804-1844

Ph: (563) 421-4400

Reviews and Comments


Family Medicine Doctors in Davenport, IA

Dr. Bryant A. Mutchler, DO
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Phone: 563-421-0268    Fax: 563-421-0269
Dr. Jesicah Elisabeth Ambrisco, DO
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Practice Location: 1345 W Central Park Ave, Davenport, IA 52804
Phone: 563-421-4400    Fax: 563-421-4449
Nicholas Nicchitta, DO
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Thang Luong, D.O.
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Practice Location: 1345 W Central Park Ave, Davenport, IA 52804
Phone: 563-421-4400    Fax: 563-421-4449
Mohsin Ali Khan, MD
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Practice Location: 1111 W Kimberly Rd, Davenport, IA 52806
Phone: 563-650-6825    
Joshua Carpenter, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1345 W Central Park Ave, Davenport, IA 52804
Phone: 563-421-4400    Fax: 563-421-4449
Dr. Tammy Jo Wells, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1820 E 54th St, Suite B, Davenport, IA 52807
Phone: 563-355-9990    Fax: 563-355-9999

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.