Dr Nathan Curtis Dieckow, OD | |
1115 N Henderson St, Galesburg, IL 61401-2523 | |
(309) 343-1107 | |
(309) 343-1306 |
Full Name | Dr Nathan Curtis Dieckow |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 16 Years |
Location | 1115 N Henderson St, Galesburg, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841423753 | NPI | - | NPPES |
000014545 | Other | MO | MEDICARE PTAN |
1841423753 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2010018379 (Missouri) | Secondary |
152W00000X | Optometrist | 046010231 (Illinois) | Primary |
Provider Name | Ava Rose Eyecare Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609258581 PECOS PAC ID: 7416263413 Enrollment ID: O20150908000803 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathan Curtis Dieckow, OD 1115 N Henderson St, Galesburg, IL 61401-2523 Ph: (309) 343-1107 | Dr Nathan Curtis Dieckow, OD 1115 N Henderson St, Galesburg, IL 61401-2523 Ph: (309) 343-1107 |
Bard Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1265 N Henderson St, Galesburg, IL 61401 Phone: 309-343-7799 Fax: 309-343-7934 | |
Dr. Gordon S Weech, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1150 W Carl Sandburg Dr, Galesburg, IL 61401 Phone: 309-344-2188 Fax: 309-341-5136 | |
Dr. Pamela Jean Eilenfeldt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1265 N Henderson St, Galesburg, IL 61401 Phone: 309-343-7799 Fax: 309-343-7934 | |
Peter H Kehoe, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 35 4l Plz, Galesburg, IL 61401 Phone: 309-343-1179 Fax: 309-343-5287 | |
Brian J Plattner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 35 4l Plz, Galesburg, IL 61401 Phone: 309-343-1179 Fax: 309-343-5287 | |
Kehoe Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4-l Plaza, Suite 35, Galesburg, IL 61401 Phone: 309-343-1179 Fax: 309-343-5287 | |
Anthony B Carter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4l Plaza, Suite #35, Galesburg, IL 61401 Phone: 309-343-1179 Fax: 309-343-5287 |