Dr Rebecca Andresen Wiese, MD | |
1227 E Rusholme St, Davenport, IA 52803-2459 | |
(563) 421-3121 | |
(563) 421-3129 |
Full Name | Dr Rebecca Andresen Wiese |
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Gender | Female |
Speciality | Family Medicine |
Location | 1227 E Rusholme St, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609921931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22167 (Iowa) | Primary |
Entity Name | Genesis Health System |
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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 |
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Dr Rebecca Andresen Wiese, MD 5410 Maryland Way, Suite 300, Brentwood, TN 37027-5064 Ph: (615) 377-5652 | Dr Rebecca Andresen Wiese, MD 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 421-3121 |
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 | |
Dr. Jesicah Elisabeth Ambrisco, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 Fax: 563-421-4449 | |
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 |