| Gastroenterology Associates Pc | |
|
2222 53rd Avenue Bettendorf IA 52753 | |
| (563) 383-2686 | |
| (563) 884-8144 |
| Full Name | Gastroenterology Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2222 53rd Avenue, Bettendorf, Iowa |
| Authorized Official Name and Position | Erling Larson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5633832686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Pc 2222 53rd Avenue Bettendorf IA 52753 Ph: (563) 383-2686 | Gastroenterology Associates Pc 2222 53rd Avenue Bettendorf IA 52753 Ph: (563) 383-2686 |
| NPI Number | 1821022161 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/17/2008 |
| Medicare PECOS PAC ID | 6305738808 |
|---|---|
| Medicare Enrollment ID | O20040329000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821022161 | NPI | - | NPPES |
| 0455097 | Medicaid | IA | |
| 71951 | Other | IA | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Young B Huh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407830912 PECOS PAC ID: 5294701629 Enrollment ID: I20071115000048 |
| Provider Name | Richard L Weyman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295717478 PECOS PAC ID: 0840266276 Enrollment ID: I20100812000132 |
| Provider Name | Jae H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861578759 PECOS PAC ID: 8729119375 Enrollment ID: I20121101000103 |
| Provider Name | Jim Zb Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073590337 PECOS PAC ID: 4981505211 Enrollment ID: I20151125000714 |
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 |