| Olivia Masterson, | |
|
1320 W Lombard St, Davenport, IA 52804-2029 | |
| (563) 333-5886 | |
| Not Available |
| Full Name | Olivia Masterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1320 W Lombard St, 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 |
|---|---|---|---|
| 1306572094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Genesis | Davenport, IA | Hospital |
| Mercyone Genesis Silvis Medical Center | Silvis, IL | Hospital |
| Mercyone Genesis Dewitt Medical Center | Dewitt, IA | Hospital |
| Trinity Rock Island | Rock island, IL | Hospital |
| Trinity Bettendorf | Bettendorf, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Health System | 6103829338 | 262 |
| 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 |
|---|---|
| Olivia Masterson, 1320 W Lombard St, Davenport, IA 52804-2029 Ph: (563) 333-5886 | Olivia Masterson, 1320 W Lombard St, Davenport, IA 52804-2029 Ph: (563) 333-5886 |
Miss Taylor Evelyn Timpe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 |
Caitlin J Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1230 E Rusholme St, Suite 150, Davenport, IA 52803 Phone: 563-421-3990 Fax: 563-421-3999 |
Kailee Jean Hopkins, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 |
Lauryn Moline, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 |
Tiffany Jo Schick, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5886 |
Grace E Ver Steegh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 |
Charles Grant Dennehey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 |