| Kourtnee Jo Mezo, | |
|
1321 N 7th St, Rochelle, IL 61068-1185 | |
| (815) 562-3801 | |
| Not Available |
| Full Name | Kourtnee Jo Mezo |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 1321 N 7th St, Rochelle, 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 |
|---|---|---|---|
| 1356885925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sinnissippi Centers Inc | 3476459876 | 35 |
| Entity Name | Sinnissippi Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtnee Jo Mezo, 1272 W Stover St, Freeport, IL 61032-4873 Ph: (181) 550-3603 | Kourtnee Jo Mezo, 1321 N 7th St, Rochelle, IL 61068-1185 Ph: (815) 562-3801 |
Payton Mifflin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10352 E Shagbark Ln, Rochelle, IL 61068 Phone: 815-761-0889 | |
Veronica Rodriquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1043 Westview Dr, Rochelle, IL 61068 Phone: 815-766-0472 | |
Georg William Svec, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N 7th St, Rochelle, IL 61068 Phone: 815-562-8301 | |
Ashley Hernandez, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1321 N 7th St, Rochelle, IL 61068 Phone: 815-562-3801 | |
Joan Whaley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Fairview Dr, Rochelle, IL 61068 Phone: 815-561-9003 | |
Page Holland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N 7th St, Rochelle, IL 61068 Phone: 815-562-3801 | |
Jillian Gustafson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N 7th St, Rochelle, IL 61068 Phone: 815-562-3801 |