| Bettendorf Pediatric Group | |
|
4017 Devils Glen Rd Suite 200 Bettendorf IA 52722-7259 | |
| (563) 332-3400 | |
| (563) 332-4784 |
| Full Name | Bettendorf Pediatric Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4017 Devils Glen Rd, Bettendorf, Iowa |
| Authorized Official Name and Position | Pomilla Kumar (OWNER) |
| Authorized Official Contact | 5633323400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bettendorf Pediatric Group 4017 Devils Glen Rd Suite 200 Bettendorf IA 52722-7259 Ph: (563) 332-3400 | Bettendorf Pediatric Group 4017 Devils Glen Rd Suite 200 Bettendorf IA 52722-7259 Ph: (563) 332-3400 |
| NPI Number | 1942562467 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 0143486126 |
|---|---|
| Medicare Enrollment ID | O20120718000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942562467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Pomilla C Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568431880 PECOS PAC ID: 8729042940 Enrollment ID: I20041117000806 |
| Provider Name | Victoria I Rowlands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013995695 PECOS PAC ID: 7214903715 Enrollment ID: I20080801000333 |
Genesis Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 Lincoln Rd, Suite 400, Bettendorf, IA 52722 Phone: 563-355-7548 Fax: 563-355-7540 | |
Champion Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 16th St, Bettendorf, IA 52722 Phone: 563-823-0386 Fax: 563-823-0651 | |
Family Care Partners Of The Quad Cities, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 Utica Ridge Rd, Suite B, Bettendorf, IA 52722 Phone: 563-344-7400 Fax: 563-359-9395 | |
Byrum Family Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Middle Rd, Suite A, Bettendorf, IA 52722 Phone: 563-332-7734 Fax: 563-332-1649 | |
Family Care Partners Of The Quad Cities, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 Utica Ridge Rd, Suite B, Bettendorf, IA 52722 Phone: 563-344-7400 Fax: 563-359-9395 | |
Genesis Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 Lincoln Rd, Suite L10, Bettendorf, IA 52722 Phone: 563-355-9191 Fax: 563-355-3419 | |
Sequoia Health Services Bettendorf, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 770 Tanglefoot Ln, Bettendorf, IA 52722 Phone: 563-396-2100 |