| Georgina Srinivas Rao, M.d., S.c. | |
|
1024 W Main St Saint Charles IL 60174-1745 | |
| (630) 262-2640 | |
| (630) 262-2645 |
| Full Name | Georgina Srinivas Rao, M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1024 W Main St, Saint Charles, Illinois |
| Authorized Official Name and Position | Georgina Srinivas Rao (OWNER) |
| Authorized Official Contact | 6302622640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgina Srinivas Rao, M.d., S.c. 1024 W Main St Saint Charles IL 60174-1745 Ph: (630) 262-2640 | Georgina Srinivas Rao, M.d., S.c. 1024 W Main St Saint Charles IL 60174-1745 Ph: (630) 262-2640 |
| NPI Number | 1831344480 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Medicare PECOS PAC ID | 1052477981 |
|---|---|
| Medicare Enrollment ID | O20090302000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831344480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036098889 (Illinois) | Primary |
| Provider Name | Mia Rusev |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871612176 PECOS PAC ID: 3375636434 Enrollment ID: I20070905000519 |
| Provider Name | Georgina N Srinivas Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306971015 PECOS PAC ID: 4789571605 Enrollment ID: I20090227000526 |
| Provider Name | Pollyanna C Vujovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437137221 PECOS PAC ID: 5395806855 Enrollment ID: I20100626000163 |
| Provider Name | Joy Lee Pascoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871997494 PECOS PAC ID: 5395069124 Enrollment ID: I20150126002044 |
| Provider Name | Jason J Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780730101 PECOS PAC ID: 1052531175 Enrollment ID: I20160329000962 |
| Provider Name | Marcin T Mika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669734315 PECOS PAC ID: 9436371598 Enrollment ID: I20170915000477 |
| Provider Name | Joseph A Spagnola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649760083 PECOS PAC ID: 9436408150 Enrollment ID: I20180814001031 |
| Provider Name | Amy Drescher-crumpley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801907589 PECOS PAC ID: 1658495940 Enrollment ID: I20190424002929 |
| Provider Name | Jennifer Joanne King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851923924 PECOS PAC ID: 5294186623 Enrollment ID: I20240110000287 |
| Provider Name | Niveditha Nunna Christodoss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194043455 PECOS PAC ID: 0446601827 Enrollment ID: I20240110002119 |
| Provider Name | Christine M. Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114164894 PECOS PAC ID: 3779928940 Enrollment ID: I20240227003159 |
Dennis A. Long, M.d., S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, Suite O-1, Saint Charles, IL 60175 Phone: 630-377-7660 Fax: 630-587-4982 | |
Annmarie L. Belmonte, Psyd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W Main St, Saint Charles, IL 60174 Phone: 847-971-6941 | |
Lotus Therapy Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 210 S 5th St Ste 12, Saint Charles, IL 60174 Phone: 630-886-2638 | |
Comprehensive Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3833 E Main St, Saint Charles, IL 60174 Phone: 630-306-0493 | |
Bliss Practice Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 N Riverside Ave, Saint Charles, IL 60174 Phone: 630-377-7171 Fax: 630-584-8233 | |
Ampersand Autism Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36w175 Silver Glen Rd, Saint Charles, IL 60175 Phone: 708-271-3478 | |
Cafal Clinic For Psychoatric And Consultation Services Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Dunham Rd Ste 100, Saint Charles, IL 60174 Phone: 630-770-3475 Fax: 331-901-5127 |