Retta E Pelsang, MD | |
1970 E 53rd St, Davenport, IA 52807-2710 | |
(563) 359-3949 | |
Not Available |
Full Name | Retta E Pelsang |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 1970 E 53rd St, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548220429 | NPI | - | NPPES |
02954 | Other | BCBS IA RGPCSC | |
44976 | Other | BCBS IA RGIC LLC | |
1084871 | Medicaid | IA | |
4084871 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 28017 (Iowa) | Primary |
Entity Name | Radiology Group Pc Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073573994 PECOS PAC ID: 9032008537 Enrollment ID: O20040312000682 |
Mailing Address | Practice Location Address |
---|---|
Retta E Pelsang, MD 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949 | Retta E Pelsang, MD 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949 |
Dr. Christine M Sharis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938 | |
John W Rogers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Jason Benjamin Mueller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159 | |
Andrew E Berkow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Dr. Antonio P Vigliotti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1900 Fax: 563-421-1938 | |
Robert W Hartung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 | |
Joseph M Phelan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 |