Dr Jesicah Elisabeth Ambrisco, DO | |
1345 W Central Park Ave, Davenport, IA 52804-1844 | |
(563) 421-4400 | |
(563) 421-4449 |
Full Name | Dr Jesicah Elisabeth Ambrisco |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 6 Years |
Location | 1345 W Central Park Ave, Davenport, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023502622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R-11345 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 6103829338 | 186 |
Genesis Health System | 7214841436 | 179 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesicah Elisabeth Ambrisco, DO 1345 W Central Park Ave, Davenport, IA 52804-1844 Ph: (563) 421-4400 | Dr Jesicah Elisabeth Ambrisco, DO 1345 W Central Park Ave, Davenport, IA 52804-1844 Ph: (563) 421-4400 |
Dr. Bryant A. Mutchler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 W Kimberly Rd Ste 200, Davenport, IA 52806 Phone: 563-421-0268 Fax: 563-421-0269 | |
Nicholas Nicchitta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 | |
Thang Luong, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 Fax: 563-421-4449 | |
Mohsin Ali Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W Kimberly Rd, Davenport, IA 52806 Phone: 563-650-6825 | |
Joshua Carpenter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 Fax: 563-421-4449 | |
Dr. Tammy Jo Wells, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 E 54th St, Suite B, Davenport, IA 52807 Phone: 563-355-9990 Fax: 563-355-9999 |