Allison Stephens, | |
1123 N Chestnut St, Mount Carmel, IL 62863-1212 | |
(618) 263-4970 | |
Not Available |
Full Name | Allison Stephens |
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Gender | Female |
Speciality | Social Worker |
Location | 1123 N Chestnut St, Mount Carmel, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336959063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | 150.111538 (Illinois) | Primary |
Entity Name | Wabash General Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
Mailing Address | Practice Location Address |
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Allison Stephens, 1123 N Chestnut St, Mount Carmel, IL 62863-1212 Ph: (618) 263-4970 | Allison Stephens, 1123 N Chestnut St, Mount Carmel, IL 62863-1212 Ph: (618) 263-4970 |
Mrs. Andrea S. Cruse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 N Market St, Suite 101, Mount Carmel, IL 62863 Phone: 618-263-4970 | |
Shauna Smith, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 N Market St Ste 101, Mount Carmel, IL 62863 Phone: 618-263-4970 Fax: 618-263-4837 |