Mark P Iltis, MD | |
619 5th Street, Durant, IA 52747 | |
(563) 785-4487 | |
(563) 785-6681 |
Full Name | Mark P Iltis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 619 5th Street, Durant, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659369353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27823 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Vna | Bettendorf, IA | Home health agency |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Trinity Muscatine | Muscatine, IA | 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: O20031113000044 |
Mailing Address | Practice Location Address |
---|---|
Mark P Iltis, MD 865 Lincoln Rd, Ste L10, Bettendorf, IA 52722-4190 Ph: (563) 355-9191 | Mark P Iltis, MD 619 5th Street, Durant, IA 52747 Ph: (563) 785-4487 |
Dr. Jennifer R Aanestad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 5th St, Durant, IA 52747 Phone: 563-785-4487 Fax: 563-785-6681 | |
Emily Ann Johnson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 5th St, Durant, IA 52747 Phone: 563-421-4487 Fax: 563-421-6681 |