| Neurology Consultants Pc | |
|
4700 E 56th St Suite 100 Davenport IA 52807-2903 | |
| (563) 383-2667 | |
| (563) 383-2672 |
| Full Name | Neurology Consultants Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4700 E 56th St, Davenport, Iowa |
| Authorized Official Name and Position | Jerri E Sharp (OFFICE MANAGER) |
| Authorized Official Contact | 5633832667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants Pc 4700 E 56th St Suite 100 Davenport IA 52807-2903 Ph: (563) 383-2667 | Neurology Consultants Pc 4700 E 56th St Suite 100 Davenport IA 52807-2903 Ph: (563) 383-2667 |
| NPI Number | 1861461436 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 7012804933 |
|---|---|
| Medicare Enrollment ID | O20040303001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861461436 | NPI | - | NPPES |
| 0219014 | Medicaid | IA | |
| 21901 | Other | WELLMARK BCBS | |
| CP8140 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Irena M Charysz Birski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821076753 PECOS PAC ID: 3274592837 Enrollment ID: I20041008000188 |
| Provider Name | John M Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679550503 PECOS PAC ID: 1557258480 Enrollment ID: I20041014000199 |
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