| Samantha Alyssa Mcgovern, | |
|
2 Wheaton Ctr Apt 1001, Wheaton, IL 60187-4972 | |
| (630) 639-6594 | |
| Not Available |
| Full Name | Samantha Alyssa Mcgovern |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2 Wheaton Ctr Apt 1001, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871007476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.015354 (Illinois) | Primary |
| Entity Name | Life Care Wellness, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952767733 PECOS PAC ID: 2860791449 Enrollment ID: O20160503001964 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Alyssa Mcgovern, 2 Wheaton Ctr Apt 1001, Wheaton, IL 60187-4972 Ph: (630) 639-6594 | Samantha Alyssa Mcgovern, 2 Wheaton Ctr Apt 1001, Wheaton, IL 60187-4972 Ph: (630) 639-6594 |
Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Brendan Christopher Bell, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059 | |
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255 | |
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201 | |
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691 | |
Fallon Weatherspoon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 |