Ronald Fuller, MS | |
1970 E 53rd St, Davenport, IA 52807-2710 | |
(563) 359-3949 | |
Not Available |
Full Name | Ronald Fuller |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 1970 E 53rd St, Davenport, 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 |
---|---|---|---|
1932169893 | NPI | - | NPPES |
1187187 | Other | IA | MEDICAID IOWA W/ ORA |
K51666 | Other | IA | MEDICARE FOR ORA |
20765 | Other | IA | BCBS OF IOWA W/ ORA |
4187487 | Medicaid | IA | |
300121312 | Other | IA | RAILROAD MEDICARE W/ ORA |
32985 | Other | BCBS IA FOR RGPCSC | |
300095837 | Other | RR MDC FOR RGPCSC | |
20765 | Other | IA | MEDICARE W/ ORA |
300132299 | Other | RR MDC FOR RGIC LLC | |
49669 | Other | BCBS IA FOR RGIC LLC | |
0187187 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 32081 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Genesis Medical Center, Aledo | Aledo, IL | Hospital |
Genesis Medical Center-dewitt | Dewitt, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Group Pc Sc | 9032008537 | 18 |
Radiology Group Pc Sc | 9032008537 | 18 |
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: O20111128000781 |
Mailing Address | Practice Location Address |
---|---|
Ronald Fuller, MS 1970 E 53rd St, Davenport, IA 52807-2710 Ph: (563) 359-3949 | Ronald Fuller, MS 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 |