Nicole M Mcdonald-martinez, | |
207 E Church St, Suite A, Sandwich, IL 60548-9803 | |
(815) 786-8606 | |
(815) 786-1541 |
Full Name | Nicole M Mcdonald-martinez |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 207 E Church St, Sandwich, 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 |
---|---|---|---|
1396058830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149014074 (Illinois) | Primary |
Entity Name | Lotus Integrative Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841893682 PECOS PAC ID: 5890109490 Enrollment ID: O20210121002595 |
Mailing Address | Practice Location Address |
---|---|
Nicole M Mcdonald-martinez, 1120 E Main St, St Charles, IL 60174-2287 Ph: (630) 377-6613 | Nicole M Mcdonald-martinez, 207 E Church St, Suite A, Sandwich, IL 60548-9803 Ph: (815) 786-8606 |
Jon D Hsieh, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 207 E Church St, Suite A, Sandwich, IL 60548 Phone: 815-786-8606 Fax: 815-786-1541 | |
Mrs. Sarah R Nourzad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1769 Suzy St, Sandwich, IL 60548 Phone: 815-970-0303 | |
Jennifer Erin Geltz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 207 E Church St Unit A, Sandwich, IL 60548 Phone: 815-786-8606 Fax: 815-786-1541 | |
Gabriella Elizabeth Chalfin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1467 Nova Rd, Sandwich, IL 60548 Phone: 815-579-2901 | |
Kathleen Marie Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1852 W Church St, Sandwich, IL 60548 Phone: 815-786-7016 | |
Mrs. Lindsey Nicole Fae Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 207 E Church St Unit A, Sandwich, IL 60548 Phone: 815-786-8606 Fax: 815-785-1541 |