Antonio Wheeler, | |
1996 1st Street A, Moline, IL 61265-7729 | |
(309) 517-7561 | |
Not Available |
Full Name | Antonio Wheeler |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1996 1st Street A, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356980486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149021831 (Illinois) | Primary |
Entity Name | Pcc Community Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
Entity Name | Primecare Community Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558532739 PECOS PAC ID: 6204722077 Enrollment ID: O20040227000011 |
Entity Name | Agor Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346445871 PECOS PAC ID: 9133393937 Enrollment ID: O20111112000047 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Antonio Wheeler, Po Box 746715, Atlanta, GA 30374-6715 Ph: (773) 352-1515 | Antonio Wheeler, 1996 1st Street A, Moline, IL 61265-7729 Ph: (309) 517-7561 |
Ms. Joan Timmermann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 | |
Ms. Rosemary Jordan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 52nd Ave, Moline, IL 61265 Phone: 309-797-2900 Fax: 309-797-2417 | |
Rebekah Ann Clark, LPHA,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027 | |
Tammi A White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4600 3rd Street, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027 | |
Olivia R Carrow, LCSW, LPHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2326 16th St, Moline, IL 61265 Phone: 309-283-1203 | |
Ms. Linda Wright-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 | |
Ms. Roxanne Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 |