| Yancy Cruz, | |
|
310 S Plover Dr, Carbondale, IL 62901-2030 | |
| (787) 372-4808 | |
| Not Available |
| Full Name | Yancy Cruz |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 310 S Plover Dr, Carbondale, 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 |
|---|---|---|---|
| 1295147445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.016962 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Specialty Group Pa | 8921466228 | 726 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240911001944 |
| Mailing Address | Practice Location Address |
|---|---|
| Yancy Cruz, Po Box 3411, Carbondale, IL 62902-3411 Ph: (787) 372-4808 | Yancy Cruz, 310 S Plover Dr, Carbondale, IL 62901-2030 Ph: (787) 372-4808 |
Mr. Dave Scott Evans, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 East College, Carbondale, IL 62901 Phone: 618-457-6703 Fax: 618-529-4563 |
Emily Margaret Macdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 629-278-2696 |
Ms. Melissa Cauthen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1016 S Emerald Ln, Carbondale, IL 62901 Phone: 618-559-6346 |
Poorva Talapatra, M.ED., LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9900 Fax: 618-529-1384 |
Levi Wampler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-615-9754 |
Lindsay Miller, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9404 |
Ms. Jane Kidwell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Albany Rd, Suite E, Carbondale, IL 62903 Phone: 618-241-2128 Fax: 618-241-3848 |