Tricia Lyn Fairchild, MD | |
1345 W Central Park Ave, Family Medicine Residency Program, Davenport, IA 52804-1844 | |
(563) 421-4400 | |
Not Available |
Full Name | Tricia Lyn Fairchild |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1345 W Central Park Ave, 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 |
---|---|---|---|
1609169499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | R-9144 (Iowa) | Secondary |
207Q00000X | Family Medicine | R-09884 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lee's Summit Medical Center | Lees summit, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Goppert - Trinity Family Care, Llc | 8426956681 | 11 |
Entity Name | Goppert - Trinity Family Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922097013 PECOS PAC ID: 8426956681 Enrollment ID: O20031224000034 |
Entity Name | Lees Summit Family Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619923968 PECOS PAC ID: 4385636778 Enrollment ID: O20040405000615 |
Mailing Address | Practice Location Address |
---|---|
Tricia Lyn Fairchild, MD 600 Nw Murray Rd Ste 210, Lees Summit, MO 64081-1245 Ph: (816) 524-2626 | Tricia Lyn Fairchild, MD 1345 W Central Park Ave, Family Medicine Residency Program, Davenport, IA 52804-1844 Ph: (563) 421-4400 |
Dr. Bryant A. Mutchler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 W Kimberly Rd Ste 200, Davenport, IA 52806 Phone: 563-421-0268 Fax: 563-421-0269 | |
Dr. Jesicah Elisabeth Ambrisco, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 Fax: 563-421-4449 | |
Nicholas Nicchitta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 | |
Thang Luong, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 Fax: 563-421-4449 | |
Mohsin Ali Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W Kimberly Rd, Davenport, IA 52806 Phone: 563-650-6825 | |
Joshua Carpenter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 Fax: 563-421-4449 | |
Dr. Tammy Jo Wells, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 E 54th St, Suite B, Davenport, IA 52807 Phone: 563-355-9990 Fax: 563-355-9999 |