Vidya Kollu, | |
1345 W Central Park Ave, Davenport, IA 52804-1844 | |
(563) 421-1900 | |
(563) 421-1809 |
Full Name | Vidya Kollu |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 1345 W Central Park Ave, Davenport, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710346671 | NPI | - | NPPES |
1710346671 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD-43419 (Iowa) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 69007 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Genesis Medical Center, Aledo | Aledo, IL | Hospital |
Trinity - Rock Island | Rock island, IL | Hospital |
Hammond Henry Hospital | Geneseo, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 6103829338 | 186 |
Genesis Health System | 6103829338 | 186 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
Mailing Address | Practice Location Address |
---|---|
Vidya Kollu, 1345 W Central Park Ave, Davenport, IA 52804-1844 Ph: (563) 421-1900 | Vidya Kollu, 1345 W Central Park Ave, Davenport, IA 52804-1844 Ph: (563) 421-1900 |
Dr. Humphrey Wong, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1801 E 54th St, Ste 100, Davenport, IA 52807 Phone: 563-323-1229 Fax: 563-323-8240 | |
Mouhamed Walid Al Sheikha, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2162 W Kimberly Rd, Davenport, IA 52806 Phone: 563-391-1024 Fax: 563-391-1024 | |
Louis M Katz, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285 | |
Catherine L Weideman, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Ste 350, Davenport, IA 52804 Phone: 563-421-4620 Fax: 563-421-4625 | |
Dr. Eric J Dippel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 100, Davenport, IA 52807 Phone: 563-324-3818 Fax: 563-326-4280 | |
Sami Faruqui, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159 | |
Dr. Akshay Kantilal Mahadevia, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 102, Davenport, IA 52807 Phone: 563-323-1352 Fax: 855-274-1654 |