| Angela Hedrick, | |
|
218 N 2nd St, Wapello, IA 52653-1202 | |
| (319) 527-4455 | |
| (319) 527-4458 |
| Full Name | Angela Hedrick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 218 N 2nd St, Wapello, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578913950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001156 (Idaho) | Primary |
| Entity Name | Hillcrest Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023232824 PECOS PAC ID: 1557274743 Enrollment ID: O20031112000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Hedrick, 2005 Asbury Rd, Dubuque, IA 52001-3042 Ph: (563) 583-7357 | Angela Hedrick, 218 N 2nd St, Wapello, IA 52653-1202 Ph: (319) 527-4455 |
Lacie Marie Teal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Highway 61 N, Wapello, IA 52653 Phone: 319-523-8436 Fax: 319-523-7079 | |
Mr. Peter William Smillie, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Highway 61 N, Wapello, IA 52653 Phone: 319-523-8436 | |
Carol Adolphson, Counselor Medicare: Medicare Enrolled Practice Location: 218 N 2nd St, Wapello, IA 52653 Phone: 319-527-4455 | |
Charles Hixson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Highway 61 N, Wapello, IA 52653 Phone: 319-523-8436 Fax: 319-523-7079 | |
Mrs. Lynne Christine Marquardt, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Highway 61 N, Wapello, IA 52653 Phone: 319-523-8436 | |
Alexander Lee Bohnenkamp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Highway 61 N, Wapello, IA 52653 Phone: 319-523-8436 Fax: 319-523-8436 |