Dr Rachel Ade Koziczkowski, MD | |
870 36th Ave, Moline, IL 61265-7159 | |
(309) 623-7100 | |
(309) 623-7079 |
Full Name | Dr Rachel Ade Koziczkowski |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 14 Years |
Location | 870 36th Ave, Moline, Illinois |
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 |
---|---|---|---|
1720306590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036.140268 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity - Rock Island | Rock island, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iowa Physicians Clinic Medical Foundation | 8729992318 | 971 |
Entity Name | Iowa Physicians Clinic Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20040512000055 |
Mailing Address | Practice Location Address |
---|---|
Dr Rachel Ade Koziczkowski, MD 870 36th Ave, Moline, IL 61265-7159 Ph: (309) 623-7100 | Dr Rachel Ade Koziczkowski, MD 870 36th Ave, Moline, IL 61265-7159 Ph: (309) 623-7100 |
Una Clare Miniter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd Ste 200, Moline, IL 61265 Phone: 309-779-4200 Fax: 309-779-4305 | |
Dr. Barbara Ann Lindman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4310 Fax: 309-779-4305 | |
Dr. Brian K Bonish, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr Ste 204, Moline, IL 61265 Phone: 309-227-6552 Fax: 309-277-6553 | |
Dr. Naurin Ehsan Ahmad, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4200 | |
Dr. Donna Lynne Poesch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1302 7th St, Suite 202, Moline, IL 61265 Phone: 309-277-0772 Fax: 309-277-0774 | |
Dr. Israel V Fernando, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3709 16th St, Moline, IL 61265 Phone: 309-797-2713 Fax: 309-797-9558 |