Shira Tannenbaum, | |
1227 E Rusholme St, Davenport, IA 52803-2459 | |
(563) 324-8160 | |
(563) 324-8486 |
Full Name | Shira Tannenbaum |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 14 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 |
---|---|---|---|
1336467489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | DO-04709 (Iowa) | Secondary |
207L00000X | Anesthesiology | DO-04709 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Mercyone Dubuque Medical Center | Dubuque, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Associates Clinic P C | 3870491228 | 210 |
Anesthesia And Analgesia Pc | 7810887627 | 21 |
Entity Name | Medical Associates Clinic P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311 |
Entity Name | Anesthesia & Analgesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306381 PECOS PAC ID: 7810887627 Enrollment ID: O20040316001395 |
Mailing Address | Practice Location Address |
---|---|
Shira Tannenbaum, Po Box 1245, Bettendorf, IA 52722-0021 Ph: (563) 324-8160 | Shira Tannenbaum, 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 324-8160 |
Johanna Laidig, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Mr. Ilya B Volfson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Mr. Richard Lowell Carruthers, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Eun Hea Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Dr. Stephen Thomas Delessio, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Mr. Johnny Edward Brian Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889 | |
Sara Fay Reader, DO, MS Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 |