| Randi D Bryan, LCSW | |
|
402 Hankes Rd, Sugar Grove, IL 60554-4300 | |
| (757) 784-8295 | |
| Not Available |
| Full Name | Randi D Bryan |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 402 Hankes Rd, Sugar Grove, 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 |
|---|---|---|---|
| 1871241018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012705 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149024391 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Post Acute Care Pllc | 0143547117 | 63 |
| 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 |
|---|---|
| Randi D Bryan, LCSW 402 Hankes Rd, Sugar Grove, IL 60554-4300 Ph: (757) 784-8295 | Randi D Bryan, LCSW 402 Hankes Rd, Sugar Grove, IL 60554-4300 Ph: (757) 784-8295 |
Kathleen Diane Ely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 172 Brookhaven Court, Sugar Grove, IL 60554 Phone: 630-466-0019 Fax: 630-809-5062 | |
Nancy Herkes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 217 Yolane Dr, Sugar Grove, IL 60554 Phone: 630-466-1805 | |
Mrs. Kelly Winkelbauer Hesselbaum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 S Main St # A, Sugar Grove, IL 60554 Phone: 630-466-8657 | |
Mrs. Courtney Lynn Pupich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 Chatsworth Ave, Sugar Grove, IL 60554 Phone: 773-807-1530 | |
Katherine Dolewski, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 806, Sugar Grove, IL 60554 Phone: 630-466-8657 |