| Pearl City Psychiatry, Pllc | |
|
228 W 2nd St Muscatine IA 52761-3738 | |
| (563) 278-2796 | |
| Not Available |
| Full Name | Pearl City Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 228 W 2nd St, Muscatine, Iowa |
| Authorized Official Name and Position | Lindsay Marie Chick (MENTAL HEALTH NURSE PRACTITIONER) |
| Authorized Official Contact | 5632782796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl City Psychiatry, Pllc 2625 Letaville Dr Muscatine IA 52761-8611 Ph: (563) 260-2078 | Pearl City Psychiatry, Pllc 228 W 2nd St Muscatine IA 52761-3738 Ph: (563) 278-2796 |
| NPI Number | 1538731385 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 4587061973 |
|---|---|
| Medicare Enrollment ID | O20210928001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538731385 | NPI | - | NPPES |
| 1043821440 | Other | IA | CMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lindsay M Chick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043821440 PECOS PAC ID: 2163833724 Enrollment ID: I20211005002084 |
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