| Lori Mayo, LSW | |
|
3248 Vandever, Pekin, IL 61554 | |
| (309) 347-5522 | |
| (309) 347-7302 |
| Full Name | Lori Mayo |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 3248 Vandever, Pekin, 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 |
|---|---|---|---|
| 1366407892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Mayo, LSW 3248 Vandever, Pekin, IL 61554 Ph: (309) 347-5579 | Lori Mayo, LSW 3248 Vandever, Pekin, IL 61554 Ph: (309) 347-5522 |
Mrs. Renee R Lawson, RSA DSP CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-4280 | |
Stacie Billingsley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 State St, Pekin, IL 61554 Phone: 309-648-0782 | |
Mr. Robert John Mooney, LPC MA Counselor Medicare: Medicare Enrolled Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-1148 Fax: 309-347-1298 | |
Mr. Patrick Timothy Hayes, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Joan Wenzel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3249 Barney Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-7302 | |
Patrick Durkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Gelana L Mccloud, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 333 Margaret St, Pekin, IL 61554 Phone: 309-407-7771 Fax: 309-620-8623 |