Kendra J Cole, LCSW | |
1005 Health Center Dr Ste 102, Mattoon, IL 61938-4693 | |
(217) 258-4042 | |
(217) 258-4053 |
Full Name | Kendra J Cole |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 1005 Health Center Dr Ste 102, Mattoon, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548352248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149-007401 (Illinois) | Primary |
104100000X | Social Worker | 149007401 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 308 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Kendra J Cole, LCSW 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055 | Kendra J Cole, LCSW 1005 Health Center Dr Ste 102, Mattoon, IL 61938-4693 Ph: (217) 258-4042 |
Mrs. Rachel L Duhamell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Theresa Mai Ditchfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 N 21st St, Mattoon, IL 61938 Phone: 910-987-9296 | |
Jessica L. Kleiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Rachel Stuckey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 800-454-4055 | |
Mrs. Hillarie Mieure, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Terra Lynn Ogle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Ms. Kelli D Canada, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 911 Remington Rd Ste B, Mattoon, IL 61938 Phone: 217-234-3091 Fax: 217-543-2548 |