| Jay Newell, | |
|
2701 17th St, Ryc Access Department, Rock Island, IL 61201-5351 | |
| (309) 779-3001 | |
| (309) 779-2078 |
| Full Name | Jay Newell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2701 17th St, Rock Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831573138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005041 (Illinois) | Primary |
| Entity Name | Vera French Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245291129 PECOS PAC ID: 6103715214 Enrollment ID: O20040315000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Newell, 2701 17th St., Ryc Access Department, Rock Island, IL 61201 Ph: (309) 779-3001 | Jay Newell, 2701 17th St, Ryc Access Department, Rock Island, IL 61201-5351 Ph: (309) 779-3001 |
Amber Leanne Cozad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61254 Phone: 309-779-2031 | |
Cheyenne Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 3rd Ave, Rock Island, IL 61201 Phone: 309-779-2064 | |
Samantha Goman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2031 | |
Ibrahim K Tarawneh, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3006 | |
Rita Sterling, MCJ, CADC, CPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 19th St, Department Of Veterans Affairs, Ste. M2, Rock Island, IL 61201 Phone: 309-786-3591 Fax: 309-786-5135 | |
Brandon Alan Kutmas, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4709 44th St Ste 5, Rock Island, IL 61201 Phone: 309-306-1648 Fax: 309-213-9438 | |
Amber Michelle Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2031 |