Marisa Garcia, FNP | |
3900 28th Avenue Dr, Moline, IL 61265-5536 | |
(309) 281-6000 | |
Not Available |
Full Name | Marisa Garcia |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3900 28th Avenue Dr, Moline, Illinois |
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 |
---|---|---|---|
1528712858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041438868 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209024816 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cgh Medical Center | Sterling, IL | Hospital |
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cgh Medical Center | 6103723267 | 161 |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380 |
Mailing Address | Practice Location Address |
---|---|
Marisa Garcia, FNP 10086 Bristol St, Rock Falls, IL 61071-9315 Ph: (815) 535-8291 | Marisa Garcia, FNP 3900 28th Avenue Dr, Moline, IL 61265-5536 Ph: (309) 281-6000 |
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