Monogram Health Professional Services Of Iowa Pllc - Medicare Mental Health Clinic in Davenport, IA

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Monogram Health Professional Services Of Iowa Pllc is a medicare enrolled mental health clinic (Internal Medicine - Nephrology) in Davenport, Iowa. The current practice location for Monogram Health Professional Services Of Iowa Pllc is 4620 E 53rd St Ste 200, Davenport, Iowa. For appointments, you can reach them via phone at (615) 623-4455. The mailing address for Monogram Health Professional Services Of Iowa Pllc is 5410 Maryland Way Ste 400, Brentwood, Tennessee and phone number is (615) 465-8684.

Monogram Health Professional Services Of Iowa Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285344150. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (615) 623-4455.

Contact Information

Monogram Health Professional Services Of Iowa Pllc
4620 E 53rd St Ste 200
Davenport
IA 52807-3627
(615) 623-4455
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameMonogram Health Professional Services Of Iowa Pllc
SpecialityInternal Medicine
Location4620 E 53rd St Ste 200, Davenport, Iowa
Authorized Official Name and PositionShawn Verner (SECRETARY AND GENERAL COUNSEL)
Authorized Official Contact6159941889
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Monogram Health Professional Services Of Iowa Pllc
5410 Maryland Way Ste 400
Brentwood
TN 37027-8087

Ph: (615) 465-8684		Monogram Health Professional Services Of Iowa Pllc
4620 E 53rd St Ste 200
Davenport
IA 52807-3627

Ph: (615) 623-4455

NPI Details:

NPI Number1285344150
Provider Enumeration Date12/01/2022
Last Update Date01/29/2025
Certification Date01/29/2025

Medicare PECOS Information:

Medicare PECOS PAC ID5991176083
Medicare Enrollment IDO20230127002756

Medical Identifiers

Medical identifiers for Monogram Health Professional Services Of Iowa Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285344150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Secondary
174400000XSpecialist (* (Not Available))Secondary
1835C0206XPharmacist - Cardiology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207RA0001XInternal Medicine - Advanced Heart Failure And Transplant Cardiology (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Primary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Monogram Health Professional Services Of Iowa Pllc acts as a billing entity for following providers:
Provider NameOlivia Woita
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922305143
PECOS PAC ID: 6709054406
Enrollment ID: I20110725000501
Provider NameGertrude Opoku-sekyere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649860339
PECOS PAC ID: 0547675639
Enrollment ID: I20210223002882
Provider NameKelli Hinsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255880621
PECOS PAC ID: 9931489457
Enrollment ID: I20210712000199
Provider NameKaren Wayson-kisling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205407129
PECOS PAC ID: 9032369970
Enrollment ID: I20211115001599
Provider NameMavis T Frimpong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730807124
PECOS PAC ID: 8921479478
Enrollment ID: I20230120002050
Provider NameShaminder Gupta
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1730183401
PECOS PAC ID: 1658322300
Enrollment ID: I20230131002891
Provider NameCarrie R Hyde
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1114260726
PECOS PAC ID: 1658696307
Enrollment ID: I20230308000988
Provider NameRashmi Bisla
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1265758635
PECOS PAC ID: 0143531871
Enrollment ID: I20230531002340
Provider NameZahily Fals
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1598078115
PECOS PAC ID: 6103121520
Enrollment ID: I20230811000786
Provider NameSusan Bell
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1336285873
PECOS PAC ID: 7517122013
Enrollment ID: I20230814000360
Provider NameRoshan Rajani
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1336494145
PECOS PAC ID: 2567785694
Enrollment ID: I20240401001019
Provider NameAngeline Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679033203
PECOS PAC ID: 8123360856
Enrollment ID: I20240410000311
Provider NameJaclyn A Masulli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124565171
PECOS PAC ID: 5294149761
Enrollment ID: I20240516000778
Provider NameHilda Deen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538778543
PECOS PAC ID: 5294145652
Enrollment ID: I20240603003581
Provider NameFranklin Erzuah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205262185
PECOS PAC ID: 7719118264
Enrollment ID: I20240610000201
Provider NameRicardo Rodriguez-santos
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1275932204
PECOS PAC ID: 3274801600
Enrollment ID: I20240816003845
Provider NameJenny Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922486604
PECOS PAC ID: 5294016069
Enrollment ID: I20240823000897
Provider NameAliasger Ali
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1538696984
PECOS PAC ID: 5597156083
Enrollment ID: I20240905003257
Provider NameSabina Sandhu
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1679990659
PECOS PAC ID: 1052611563
Enrollment ID: I20240909002928
Provider NameGeetha Kolli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295928109
PECOS PAC ID: 7214025287
Enrollment ID: I20240912003555
Provider NameSahar Semnani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568985737
PECOS PAC ID: 4486927233
Enrollment ID: I20240912004062
Provider NameErendira Degante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992445365
PECOS PAC ID: 6608263074
Enrollment ID: I20241118002008
Provider NameLisa M Vannoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447728712
PECOS PAC ID: 0446504880
Enrollment ID: I20241119001266
Provider NameLakshmana Swamy
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1912249087
PECOS PAC ID: 7719119635
Enrollment ID: I20241204002876
Provider NameOn Seng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992358162
PECOS PAC ID: 7416362819
Enrollment ID: I20241216003288
Provider NameGretchen M Sinclair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881903649
PECOS PAC ID: 0446432546
Enrollment ID: I20241217001421
Provider NameJames B Hurlburt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538429725
PECOS PAC ID: 1759507395
Enrollment ID: I20250124002629
Provider NameRichard Cline
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1245237080
PECOS PAC ID: 0143369033
Enrollment ID: I20250219003239
Provider NameRochelle Rock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720491285
PECOS PAC ID: 5395064984
Enrollment ID: I20250318003203
Provider NameMonica R Escobedo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336779081
PECOS PAC ID: 0345647574
Enrollment ID: I20250410002621

Reviews and Comments

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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.