| Deanna Sublette, | |
|
639 York St, Quincy, IL 62301-3963 | |
| (217) 222-6277 | |
| (217) 214-5450 |
| Full Name | Deanna Sublette |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 639 York St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598436271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180011937 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Preferred Family Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114099421 PECOS PAC ID: 0244256246 Enrollment ID: O20151124002928 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna Sublette, 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: () - | Deanna Sublette, 639 York St, Quincy, IL 62301-3963 Ph: (217) 222-6277 |
Stacey Samantha Soliman Juilfs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 York St Rm 212, Quincy, IL 62301 Phone: 217-222-6271 | |
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865 | |
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Nicole Antoinette Shields, MS, LCPC, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168 | |
Matthew Dutton, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Broadway St, Quincy, IL 62301 Phone: 217-223-0170 |