| Megan Rose, | |
|
407 N Morgan St Apt A, Metamora, IL 61548-7081 | |
| (309) 648-6679 | |
| Not Available |
| Full Name | Megan Rose |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 407 N Morgan St Apt A, Metamora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386199537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180012270 (Illinois) | Primary |
| Entity Name | Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881630689 PECOS PAC ID: 6901896968 Enrollment ID: O20040513000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Rose, 407 N Morgan St Apt A, Metamora, IL 61548-7081 Ph: (309) 648-6679 | Megan Rose, 407 N Morgan St Apt A, Metamora, IL 61548-7081 Ph: (309) 648-6679 |
Brandon Michael Ludolph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1431 Lourdes Rd, Metamora, IL 61548 Phone: 309-383-4323 | |
Teresa Lynnette Peplow, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 586 Tazewood Rd, Metamora, IL 61548 Phone: 309-264-7627 | |
Ms. Megan Oetgen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1431 Lourdes Rd, Metamora, IL 61548 Phone: 309-383-4323 | |
Mrs. Julie E Sellner, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1431 Lourdes Rd, Metamora, IL 61548 Phone: 309-383-4323 Fax: 309-383-4323 |