| Mary Mcelwain, | |
|
2323 Windish Dr, Galesburg, IL 61401-9780 | |
| (309) 344-2323 | |
| (309) 344-4368 |
| Full Name | Mary Mcelwain |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2323 Windish Dr, Galesburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851717011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180008880 (Illinois) | Primary |
| Entity Name | Bridgeway Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851315535 PECOS PAC ID: 4284627530 Enrollment ID: O20050126000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Mcelwain, 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: () - | Mary Mcelwain, 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: (309) 344-2323 |
Bailee Shepherd, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 | |
Cheryl Majeske, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Julie Schrader, MA Counselor Medicare: Medicare Enrolled Practice Location: 575 N Kellogg St, Suite 4, Galesburg, IL 61401 Phone: 309-343-0800 | |
Julie Safranek, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Brenda Harrell, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Kristin Spiegel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Gregory W Sall, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |