Charles Grant Dennehey, - Medicare Physician Assistant in Davenport, IA

Charles Grant Dennehey, is a medicare enrolled "Physician Assistant" in Davenport, Iowa. His current practice location is 1227 E Rusholme St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 421-1000.

Charles Grant Dennehey is licensed to practice in Iowa (license number 099619) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083253306.

Contact Information

Charles Grant Dennehey,
1227 E Rusholme St,
Davenport, IA 52803-2459
(563) 421-1000
Not Available



Provider's Profile

Full NameCharles Grant Dennehey
GenderMale
SpecialityPhysician Assistant
Location1227 E Rusholme St, Davenport, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083253306
  • Provider Enumeration Date: 01/03/2020
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597193854
  • Enrollment ID: I20200319002061

Medical Identifiers

Medical identifiers for Charles Grant Dennehey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083253306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 099619 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Grant Dennehey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Grant Dennehey,
1227 E Rusholme St,
Davenport, IA 52803-2459

Ph: (563) 421-1000
Charles Grant Dennehey,
1227 E Rusholme St,
Davenport, IA 52803-2459

Ph: (563) 421-1000

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Physician Assistant Nurses in Davenport, IA

Kelsey Israelson,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Miss Taylor Evelyn Timpe,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Caitlin J Wilson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1230 E Rusholme St, Suite 150, Davenport, IA 52803
Phone: 563-421-3990    Fax: 563-421-3999
Tiffany Jo Schick,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5886    
Madeline Rose Mackinac,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Grace Elizabeth Valen Gatrost,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    

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