| Melissa L Keith, DNP | |
|
708 15th Ave, East Moline, IL 61244-2134 | |
| (563) 336-3000 | |
| (563) 336-3212 |
| Full Name | Melissa L Keith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 708 15th Ave, East Moline, Illinois |
| 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 |
|---|---|---|---|
| 1992354799 | NPI | - | NPPES |
| PENDING | Medicaid | IA | |
| PENDING | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A155669 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Trinity - Rock Island | Rock island, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Care Inc | 9830008895 | 49 |
| Community Health Care Inc | 9830008895 | 49 |
| Entity Name | Community Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598759292 PECOS PAC ID: 9830008895 Enrollment ID: O20031205000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa L Keith, DNP 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 | Melissa L Keith, DNP 708 15th Ave, East Moline, IL 61244-2134 Ph: (563) 336-3000 |
Polly Anne Haskins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 Avenue Of The Cities, Suite 100, East Moline, IL 61244 Phone: 309-779-5670 Fax: 309-779-5675 | |
Courtney Garland Bibo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 306 46th Ave, East Moline, IL 61244 Phone: 309-796-2329 | |
Jennifer Wilkinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 306 46th Ave, East Moline, IL 61244 Phone: 309-796-2329 | |
Kathy Jean Dusthimer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 Avenue Of The Cities, Suite 140, East Moline, IL 61244 Phone: 309-755-9400 |