- Medicare Primary Care in Davenport, IA

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Davenport, Iowa. The current practice location for is 4622 Progress Dr Ste C, Davenport, Iowa. For appointments, you can reach them via phone at (815) 772-5505. The mailing address for is 303 N Jackson St, Morrison, Illinois and phone number is (815) 772-4003.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407463649. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 772-5505.

Contact Information

4622 Progress Dr Ste C
Davenport
IA 52807-3426
(815) 772-5505
(815) 772-5591

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location4622 Progress Dr Ste C, Davenport, Iowa
Authorized Official Name and PositionPam Pfister (CEO)
Authorized Official Contact8157725530
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

303 N Jackson St
Morrison
IL 61270-3042

Ph: (815) 772-4003
4622 Progress Dr Ste C
Davenport
IA 52807-3426

Ph: (815) 772-5505

NPI Details:

NPI Number1407463649
Provider Enumeration Date09/30/2020
Last Update Date05/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2466349907
Medicare Enrollment IDO20201230000113

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407463649NPI-NPPES
1811191299OtherBCBSIL
1619957180OtherPHYSICIAN NPI
1982675542OtherPHYSICIAN NPI
1174644629MedicaidIA
1831708288OtherNURSE PRACTITIONER NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRicky P Maddox
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1982675542
PECOS PAC ID: 3577469360
Enrollment ID: I20040116000505
Provider NameAbdullah Foad
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1619957180
PECOS PAC ID: 3173666484
Enrollment ID: I20100209000697
Provider NameBradley Ray Harper
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184697583
PECOS PAC ID: 5597758227
Enrollment ID: I20240311000778

Reviews and Comments


Clinic/Center in Davenport, IA


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5260 Northwest Blvd, Suite 2, Davenport, IA 52806
Phone: 563-445-2400    Fax: 563-445-2404
Renee D Lass
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4626 Progress Dr Ste B, Davenport, IA 52807
Phone: 563-359-3736    Fax: 563-359-0153
Quad Cities Internal Medicine Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3509 Spring St, Suite 3, Davenport, IA 52807
Phone: 563-359-5011    Fax: 359-355-3438

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 902 W 4th St, Davenport, IA 52802
Phone: 563-336-3000    Fax: 563-336-3125

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1820 W 3rd St, Davenport, IA 52802
Phone: 563-421-0500    Fax: 563-326-1901
Quad Cities Pediatrics, P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807
Phone: 563-424-2025    Fax: 563-424-2042

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1520 W 53rd St, Davenport, IA 52806
Phone: 563-421-3800    Fax: 563-421-3810

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.