Jean E Wardlow, MD | |
3900 28th Avenue Dr, Moline, IL 61265-5536 | |
(309) 281-2900 | |
(309) 281-6009 |
Full Name | Jean E Wardlow |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 21 Years |
Location | 3900 28th Avenue Dr, 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 |
---|---|---|---|
1316984313 | NPI | - | NPPES |
036115384 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036115384 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Vna | Bettendorf, IA | Home health agency |
Genesis Hospice | Bettendorf, IA | Hospice |
Unitypoint Hospice | Moline, IL | Hospice |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Trinity - Rock Island | Rock island, IL | Hospital |
Genesis Medical Center, Aledo | Aledo, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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: O20060908000380 |
Mailing Address | Practice Location Address |
---|---|
Jean E Wardlow, MD 3900 28th Avenue Dr, Moline, IL 61265-5536 Ph: (309) 281-2900 | Jean E Wardlow, MD 3900 28th Avenue Dr, Moline, IL 61265-5536 Ph: (309) 281-2900 |
Dr. Sanjeev Puri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Bouyella H Reddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Rao V Movva, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351 | |
Brian T Cady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr, Suite 203, Moline, IL 61265 Phone: 309-281-2950 Fax: 309-281-2959 | |
Dr. Balakrishna Mundodi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 John Deere Rd, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Faraz Manazir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Eileen Castro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 19th Ave, Suite 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055 |