Dr Harry R Wallner, MD | |
1100 36th Avenue, Moline, IL 61265 | |
(309) 743-6700 | |
(309) 764-2042 |
Full Name | Dr Harry R Wallner |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1100 36th Avenue, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407835366 | NPI | - | NPPES |
0556977 | Medicaid | IA | |
036058715 | Medicaid | IL | |
060053307 | Other | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036058715 (Illinois) | Primary |
Entity Name | Cardiovascular Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982632907 PECOS PAC ID: 2264334721 Enrollment ID: O20040322001926 |
Mailing Address | Practice Location Address |
---|---|
Dr Harry R Wallner, MD 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 Ph: (563) 324-2992 | Dr Harry R Wallner, MD 1100 36th Avenue, Moline, IL 61265 Ph: (309) 743-6700 |
Dr. Sanjeev Puri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Bouyella H Reddy, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Rao V Movva, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351 | |
Brian T Cady, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr, Suite 203, Moline, IL 61265 Phone: 309-281-2950 Fax: 309-281-2959 | |
Dr. Balakrishna Mundodi, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 350 John Deere Rd, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Faraz Manazir, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Eileen Castro, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 106 19th Ave, Suite 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055 |