| Timothy P Kresowik, MD | |
|
3319 Spring St, Davenport, IA 52807-2125 | |
| (563) 359-1641 | |
| (563) 359-4634 |
| Full Name | Timothy P Kresowik |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 3319 Spring St, 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 |
|---|---|---|---|
| 1831308840 | NPI | - | NPPES |
| 07364 | Other | IA | BLUE CROSS BLUE SHIELD |
| 91338 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0904060 | Medicaid | IA | |
| 0073643 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 40027 (Iowa) | Primary |
| 208800000X | Urology | R-7811 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Hammond Henry Hospital | Geneseo, IL | Hospital |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urological Associates Pc | 7618866815 | 15 |
| Urological Associates Pc | 7618866815 | 15 |
| Entity Name | Urological Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346229192 PECOS PAC ID: 7618866815 Enrollment ID: O20040315000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy P Kresowik, MD 3319 Spring St, Davenport, IA 52807-2125 Ph: (563) 359-1641 | Timothy P Kresowik, MD 3319 Spring St, Davenport, IA 52807-2125 Ph: (563) 359-1641 |
Dr. Ghasoub Harb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3319 Spring Street, Urological Assc Pc, Davenport, IA 52807 Phone: 563-359-1641 Fax: 563-359-4634 | |
Dr. Paul Leon Rohlf, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3319 Spring St, Davenport, IA 52807 Phone: 563-359-1641 Fax: 563-359-4634 | |
Dr. Mark Arthur Milleman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3319 Spring St, Davenport, IA 52807 Phone: 563-359-1641 Fax: 563-359-4634 | |
Dr. Thomas Condon Mckay, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3319 Spring St, Davenport, IA 52807 Phone: 563-359-1641 Fax: 563-359-4634 | |
Adam D Berneking, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3319 Spring St, Davenport, IA 52807 Phone: 563-359-1641 Fax: 563-359-4634 | |
Tricia Lyn Fairchild, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Family Medicine Residency Program, Davenport, IA 52804 Phone: 563-421-4400 |