| Dara Ann Wilczynski, DO | |
|
2701 17th St, Rock Island, IL 61201 | |
| (309) 779-2031 | |
| Not Available |
| Full Name | Dara Ann Wilczynski |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 11 Years |
| Location | 2701 17th St, Rock Island, 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 |
|---|---|---|---|
| 1891180154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DO-05341 (Iowa) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036148462 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity - Rock Island | Rock island, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Robert Young Center For Community Mental Health | 4587600150 | 54 |
| The Robert Young Center For Community Mental Health | 4587600150 | 54 |
| Entity Name | Trinity Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016 |
| Entity Name | The Robert Young Center For Community Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710276399 PECOS PAC ID: 4587600150 Enrollment ID: O20220303002245 |
| Mailing Address | Practice Location Address |
|---|---|
| Dara Ann Wilczynski, DO 4600 3rd St, Moline, IL 61265-6106 Ph: () - | Dara Ann Wilczynski, DO 2701 17th St, Rock Island, IL 61201 Ph: (309) 779-2031 |
Penny Ann Liebbe, APN Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Mathieu Levesque, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2570 24th St, Rock Island, IL 61201 Phone: 309-779-3670 Fax: 309-779-3675 | |
James A M Sales, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2508 25th St, Rock Island, IL 61201 Phone: 309-786-0600 Fax: 309-786-8352 |