Dr Kevin Anthony Hodge, MD | |
520 Valley View Dr, Moline, IL 61265-6152 | |
(309) 762-3621 | |
Not Available |
Full Name | Dr Kevin Anthony Hodge |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 520 Valley View Dr, 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 |
---|---|---|---|
1184153066 | NPI | - | NPPES |
036162274 | Other | IL | IL LICENSE |
MD-50470 | Other | IA | IA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD- (Iowa) | Secondary |
207X00000X | Orthopaedic Surgery | 036162274 (Illinois) | Primary |
Entity Name | Ora Orthopedics Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962481861 PECOS PAC ID: 6406741784 Enrollment ID: O20040216001316 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Anthony Hodge, MD 2300 53rd Ave Ste 100, Bettendorf, IA 52722-7565 Ph: (563) 322-0971 | Dr Kevin Anthony Hodge, MD 520 Valley View Dr, Moline, IL 61265-6152 Ph: (309) 762-3621 |
Steven A Boardman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Shawn W Wynn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Mark G Stewart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Michael A Turner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Richard S Collins, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Mr. Waqas M Hussain, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 |