| Jessica Nicole Thomas, | |
|
2205 State St, Pekin, IL 61554-3936 | |
| (630) 428-7890 | |
| Not Available |
| Full Name | Jessica Nicole Thomas |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2205 State St, Pekin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932848934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.025552 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | (Illinois) | Secondary |
| 104100000X | Social Worker | (Illinois) | Secondary |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Nicole Thomas, 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (630) 428-7890 | Jessica Nicole Thomas, 2205 State St, Pekin, IL 61554-3936 Ph: (630) 428-7890 |
Amanda Walner-cutright, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 | |
Kylanne Briggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 Sheridan Rd, Pekin, IL 61554 Phone: 309-863-5454 | |
Mrs. Rebecca A Ala, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-4264 | |
Charles Clayton Wilcox, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 359 S Capitol St, Pekin, IL 61554 Phone: 309-620-0881 | |
Jacqueline M Kipfer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 337 Country Club Dr Apt B, Pekin, IL 61554 Phone: 130-939-7983 | |
Markay Elizabeth Harmon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1010 Lincoln St, Pekin, IL 61554 Phone: 309-241-4627 | |
Patricia Ann Kutyna, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 S 4th St, Unit 1, Pekin, IL 61554 Phone: 309-346-2877 Fax: 309-346-7663 |