Mary Tjarks, MD | |
600 John Deere Road, Suite 200, Moline, IL 61265-6897 | |
(309) 779-4230 | |
Not Available |
Full Name | Mary Tjarks |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 600 John Deere Road, Suite 200, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255369641 | NPI | - | NPPES |
036102741 | Medicaid | IL | |
6200972 | Medicaid | SD | |
2533752 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5086 (South Dakota) | Secondary |
207V00000X | Obstetrics & Gynecology | 36102741 (Illinois) | Primary |
Entity Name | Medical Arts Associates, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396724183 PECOS PAC ID: 4385549377 Enrollment ID: O20031203000420 |
Mailing Address | Practice Location Address |
---|---|
Mary Tjarks, MD 600 John Deere Road, Suite 200, Moline, IL 61265-6897 Ph: (309) 779-4230 | Mary Tjarks, MD 600 John Deere Road, Suite 200, Moline, IL 61265-6897 Ph: (309) 779-4230 |
Dr. John Henry Leno, M.D. FACOG Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1106 4th Ave, Moline, IL 61265 Phone: 563-336-3000 Fax: 563-327-2045 | |
Dr. Elizabeth E Temple, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 616 35th Ave, Moline, IL 61265 Phone: 309-797-3500 Fax: 309-797-3540 | |
Dr. Karla A Vankeulen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Road, Suite 200, Moline, IL 61265 Phone: 309-779-4200 Fax: 309-779-4305 | |
Dr. Cheryl Kay Faidley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4300 7th St, Moline, IL 61265 Phone: 309-762-9800 Fax: 309-764-3871 | |
Dr. Shashi B Upadhya, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 600 John Deere Road, Suite 200, Moline, IL 61265 Phone: 309-779-4230 Fax: 309-779-4305 | |
Dr. Patricia Ellen Barron, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4300 7th St, Moline, IL 61265 Phone: 309-762-9800 Fax: 309-764-3933 |