| Stephanie Cocagne, LCPC | |
|
412 1/2 S Main Street, Unit 202, Galena, IL 61036 | |
| (815) 281-1345 | |
| Not Available |
| Full Name | Stephanie Cocagne |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 412 1/2 S Main Street, Galena, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023427713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.008616 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180.010813 (Illinois) | Primary |
| Entity Name | Midwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952409765 PECOS PAC ID: 5698771848 Enrollment ID: O20070301000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Cocagne, LCPC Po Box 271, Galena, IL 61036-0271 Ph: (815) 281-1345 | Stephanie Cocagne, LCPC 412 1/2 S Main Street, Unit 202, Galena, IL 61036 Ph: (815) 281-1345 |
Rhonda Wasson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Kim Shird, Counselor Medicare: Medicare Enrolled Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Tracy Goetzinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Justina Wandling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Terri Tranel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Thomas John Dennis, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 800 Spring St Ste 101, Galena, IL 61036 Phone: 773-454-9176 |