Omar Aceviz, | |
1520 W 53rd St, Davenport, IA 52806-2459 | |
(563) 421-3800 | |
Not Available |
Full Name | Omar Aceviz |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 1520 W 53rd St, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215655568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 143754 (Iowa) | Secondary |
363L00000X | Nurse Practitioner | A174108 (Iowa) | Primary |
Entity Name | Genesis Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044 |
Mailing Address | Practice Location Address |
---|---|
Omar Aceviz, 507 41st Ave, East Moline, IL 61244-3466 Ph: (309) 721-6294 | Omar Aceviz, 1520 W 53rd St, Davenport, IA 52806-2459 Ph: (563) 421-3800 |
Julia Christine Sass, ARNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 | |
Rachel Diane Hart, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 E 38th St Ste 205, Davenport, IA 52807 Phone: 319-800-5564 | |
Shanna R Spies, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 53rd St, Davenport, IA 52807 Phone: 563-362-3052 Fax: 563-362-3059 | |
Mrs. Andrea R Archer, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-7198 Fax: 563-421-7159 | |
Kerry Bramlett, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1351 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-1000 | |
Marissa Amidon, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 | |
Julia A Hull, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1351 W Central Park Ave, Suite 360, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285 |