| Quad City Family Physicians, Pc | |
|
3940 N Marquette St Davenport IA 52806-4430 | |
| (563) 386-3111 | |
| Not Available |
| Full Name | Quad City Family Physicians, Pc |
|---|---|
| Speciality | General Practice |
| Location | 3940 N Marquette St, Davenport, Iowa |
| Authorized Official Name and Position | Elizabeth Estilow (OFFICE MANAGER) |
| Authorized Official Contact | 8774796525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quad City Family Physicians, Pc 3940 N Marquette St Davenport IA 52806-4430 Ph: (563) 386-3111 | Quad City Family Physicians, Pc 3940 N Marquette St Davenport IA 52806-4430 Ph: (563) 386-3111 |
| NPI Number | 1265430961 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5193717361 |
|---|---|
| Medicare Enrollment ID | O20040330001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265430961 | NPI | - | NPPES |
| 0293688 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Iowa) | Primary |
| Provider Name | Jason G Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588662050 PECOS PAC ID: 1355333527 Enrollment ID: I20100520000106 |
| Provider Name | Danielle M Coberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841802279 PECOS PAC ID: 8820498371 Enrollment ID: I20210621001936 |
| Provider Name | Marissa Fortuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891402830 PECOS PAC ID: 8628435559 Enrollment ID: I20230607001949 |
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