Dr John Henry Leno, MD FACOG | |
1106 4th Ave, Moline, IL 61265-1231 | |
(563) 336-3000 | |
(563) 327-2045 |
Full Name | Dr John Henry Leno |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1106 4th Ave, 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 |
---|---|---|---|
1043216286 | NPI | - | NPPES |
036101226 | Medicaid | IL | |
03732008 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 036101226 (Illinois) | Secondary |
207V00000X | Obstetrics & Gynecology | 036101226 (Illinois) | Primary |
Entity Name | Obhg Illinois Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
Mailing Address | Practice Location Address |
---|---|
Dr John Henry Leno, MD FACOG 500w River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 | Dr John Henry Leno, MD FACOG 1106 4th Ave, Moline, IL 61265-1231 Ph: (563) 336-3000 |
Dr. Elizabeth E Temple, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 616 35th Ave, Moline, IL 61265 Phone: 309-797-3500 Fax: 309-797-3540 | |
Dr. Karla A Vankeulen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Road, Suite 200, Moline, IL 61265 Phone: 309-779-4200 Fax: 309-779-4305 | |
Dr. Cheryl Kay Faidley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4300 7th St, Moline, IL 61265 Phone: 309-762-9800 Fax: 309-764-3871 | |
Mary Tjarks, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 600 John Deere Road, Suite 200, Moline, IL 61265 Phone: 309-779-4230 | |
Dr. Shashi B Upadhya, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 600 John Deere Road, Suite 200, Moline, IL 61265 Phone: 309-779-4230 Fax: 309-779-4305 | |
Dr. Patricia Ellen Barron, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4300 7th St, Moline, IL 61265 Phone: 309-762-9800 Fax: 309-764-3933 |