Kerry P Panozzo, MD | |
4110 Blackhawk Rd Ste 2, Rock Island, IL 61201-7039 | |
(309) 428-7055 | |
(309) 265-0118 |
Full Name | Kerry P Panozzo |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 4110 Blackhawk Rd Ste 2, Rock Island, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225017957 | NPI | - | NPPES |
036090677 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036090677 (Illinois) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 036090677 (Illinois) | Primary |
Entity Name | Kerry Panozzo Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265411987 PECOS PAC ID: 0840283214 Enrollment ID: O20070409000161 |
Mailing Address | Practice Location Address |
---|---|
Kerry P Panozzo, MD 4110 Blackhawk Rd Ste 2, Rock Island, IL 61201-7039 Ph: (309) 428-7055 | Kerry P Panozzo, MD 4110 Blackhawk Rd Ste 2, Rock Island, IL 61201-7039 Ph: (309) 428-7055 |
Tarikere L Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Jeffrey F Fullenkamp, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Hari Babu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Steven M Freed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Archana G Wagle, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Mary Francis M Nuguid, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 |