Jessica Wasson (NPI# 1316491442, PAC ID# 6901184878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316491442 |
| PAC ID by PECOS | 6901184878 |
| Professional Enrollment ID | I20161027000658 |
| Full Name | Jessica Wasson |
| Organization Legal Name | GASTROINTESTINAL CLINIC OF QUAD CITIES, P.C. |
| Address |
5041 Utica Ridge Rd Suite 100 Davenport IA 52807-3060 |
| Phone Number | 5633599696 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608768353 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY - ROCK ISLAND |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 160104 | TRINITY - BETTENDORF |
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 5041 Utica Ridge Rd, Suite 100, Davenport, IA 52807-3060 | 5633599696 | GASTROINTESTINAL CLINIC OF QUAD CITIES, P.C. |
| 4340 7th St, Moline, IL 61265-6867 | 3092779220 | GASTROINTESTINAL CLINIC OF QUAD CITIES, P.C. |
| Organization Legal Name | GASTROINTESTINAL CLINIC OF QUAD CITIES, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shashinath K Chandrahasegowda | Gastroenterology | Gastrointestinal Clinic of Quad Cities, P.C. | 4340 7th St, Moline, IL 61265-6867 |
| Sreenivas Chintalapani | Gastroenterology | Gastrointestinal Clinic of Quad Cities, P.C. | 5041 Utica Ridge Rd, Suite 100, Davenport, IA 52807-3060 |
| Bettaiah T Gowda | Gastroenterology | Gastrointestinal Clinic of Quad Cities, P.C. | 5041 Utica Ridge Rd, Suite 100, Davenport, IA 52807-3060 |
| Street Address |
5041 UTICA RIDGE RD SUITE 100 |
| City | DAVENPORT |
| State | IA |
| Zip | 52807-3060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sreenivas Chintalapani | Gastroenterology | Gastrointestinal Clinic of Quad Cities, P.C. | 5041 Utica Ridge Rd, Suite 100, Davenport, IA 52807-3060 |
| Bettaiah T Gowda | Gastroenterology | Gastrointestinal Clinic of Quad Cities, P.C. | 5041 Utica Ridge Rd, Suite 100, Davenport, IA 52807-3060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine F Oswald | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Karen K Maves | Allergy/immunology | 2112 E 38th St, Davenport, IA 52807-1135 | |
| Robin R Peterson | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert L Koupal | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Wayne M Sliwa | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Judy H Prochaska | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Julia Marmion | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jolene C Atkinson | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert Andrew Gillespie | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jessica M Schultz | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Find all physicians in zip 52807 | |||
| City | DAVENPORT |
| Zip Code | 52807 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAVENPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Wasson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.