| Antonio Wheeler, | |
|
1996 1st Street A, Moline, IL 61265-7729 | |
| (309) 517-7561 | |
| Not Available |
| Full Name | Antonio Wheeler |
|---|---|
| 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 |
|---|---|
| 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. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346445871 PECOS PAC ID: 9133393937 Enrollment ID: O20111112000047 |
| Entity Name | Oak Street Health Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| 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 |
|---|---|
| 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 |