Mrs Jennifer Lynn Prather, MD | |
1227 E Rusholme St, Genisis Medical Ctr, East Campus, Davenport, IA 52803-2459 | |
(563) 421-6771 | |
(563) 421-6770 |
Full Name | Mrs Jennifer Lynn Prather |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 16 Years |
Location | 1227 E Rusholme St, Davenport, Iowa |
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 |
---|---|---|---|
1548436215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036.128044 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Hammond Henry Hospital | Geneseo, IL | Hospital |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 7214841436 | 179 |
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 |
---|---|
Mrs Jennifer Lynn Prather, MD 1814 E Locust St, Davenport, IA 52803-2038 Ph: (563) 324-0471 | Mrs Jennifer Lynn Prather, MD 1227 E Rusholme St, Genisis Medical Ctr, East Campus, Davenport, IA 52803-2459 Ph: (563) 421-6771 |
Christopher Charles Hardy, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1814 E Locust St, Davenport, IA 52803 Phone: 563-324-0471 | |
Kimball Simons Thompson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1814 E Locust St, Davenport, IA 52803 Phone: 563-324-0471 Fax: 563-324-2948 | |
Dr. Zachary Lewis, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Jack Francis Consamus, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1814 E Locust St, Davenport, IA 52803 Phone: 563-324-0471 Fax: 563-324-2948 | |
Heather Caulkins, Pathology Medicare: Medicare Enrolled Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-6772 Fax: 563-421-6770 | |
Karen Marie Fitzsimmons, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-6777 Fax: 563-421-6770 |