Bradley J Lutchka, | |
930 16th Ave, Moline, IL 61265 | |
(309) 797-1770 | |
(309) 797-1791 |
Full Name | Bradley J Lutchka |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 34 Years |
Location | 930 16th Ave, Moline, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780654202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
River Valley Oral And Maxillofacial Surgery Clinic Ltd | 0143310466 | 2 |
Entity Name | River Valley Oral And Maxillofacial Surgery Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235250200 PECOS PAC ID: 0143310466 Enrollment ID: O20071226000182 |
Mailing Address | Practice Location Address |
---|---|
Bradley J Lutchka, 930 16th Ave, Moline, IL 61265 Ph: (309) 797-1770 | Bradley J Lutchka, 930 16th Ave, Moline, IL 61265 Ph: (309) 797-1770 |
Dr. Scott R Lopshire, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 609 22nd St, Moline, IL 61265 Phone: 309-797-2001 Fax: 309-764-8236 | |
Karl Kirby Marine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3003 41st St, Moline, IL 61265 Phone: 309-762-8838 | |
John R Williams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2132 6th Avenue, Moline, IL 61265 Phone: 309-762-3211 | |
Dr. Jamie Dominic Nonnenmann, M.S., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3823 - 15th St. D, Moline, IL 61265 Phone: 309-797-2959 | |
Mark D Bollaert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001 41st St, Moline, IL 61265 Phone: 309-764-1173 | |
Dr. Lori Beth Doroba, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 518 19th Ave, Moline, IL 61265 Phone: 309-764-9099 | |
Dr. James E. Bishop, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 36th Ave, Suite B, Moline, IL 61265 Phone: 309-762-5566 Fax: 309-762-7032 |