Dietrich A Gerhardt, MD | |
1970 E 53rd St, Davenport, IA 52807-2710 | |
(563) 359-3949 | |
Not Available |
Full Name | Dietrich A Gerhardt |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 1970 E 53rd St, Davenport, Iowa |
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 |
---|---|---|---|
1396705711 | NPI | - | NPPES |
03734 | Other | BCBS IA RGIC LLC | |
2189506 | Medicaid | IA | |
1189506 | Medicaid | IA | |
25999 | Other | IA | BCBS OF IOWA W/ ORA |
01297 | Other | BCBS IA RGPCSC | |
P000275282 | Other | RR MDC RGPCSC | |
3189506 | Other | IA | MEDICAID OF IOWA W/ ORA |
I18223 | Other | IA | MEDICARE W/ ORA |
K51233 | Other | IA | MEDICARE ORA ILLINOIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 32049 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Mercyone Clinton Medical Center | Clinton, IA | Hospital |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center-dewitt | Dewitt, IA | Hospital |
Genesis Medical Center, Aledo | Aledo, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Group Pc Sc | 9032008537 | 18 |
Radiology Group Pc Sc | 9032008537 | 18 |
Entity Name | Radiology Group Pc Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073573994 PECOS PAC ID: 9032008537 Enrollment ID: O20040312000682 |
Mailing Address | Practice Location Address |
---|---|
Dietrich A Gerhardt, MD 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949 | Dietrich A Gerhardt, MD 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949 |
Dr. Christine M Sharis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938 | |
John W Rogers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Jason Benjamin Mueller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159 | |
Andrew E Berkow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Dr. Antonio P Vigliotti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938 | |
Robert W Hartung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Joseph M Phelan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 |