| Dr Donald R Legan, EDD | |
|
5409 N Knoxville, Peoria, IL 61614 | |
| (309) 691-0420 | |
| (309) 691-0520 |
| Full Name | Dr Donald R Legan |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 53 Years |
| Location | 5409 N Knoxville, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467429605 | NPI | - | NPPES |
| 07220997 | Other | BCBS | |
| L015956 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 71002085 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological Associates Professionals Llc | 5193795557 | 2 |
| Entity Name | Psychological Associates Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952378192 PECOS PAC ID: 5193795557 Enrollment ID: O20040731000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald R Legan, EDD 5409 N Knoxville, Peoria, IL 61614 Ph: (309) 691-0420 | Dr Donald R Legan, EDD 5409 N Knoxville, Peoria, IL 61614 Ph: (309) 691-0420 |
Brycie Weiden, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 515 Ne Glen Oak Ave Ste 101, Peoria, IL 61603 Phone: 309-655-7378 | |
Dr. Jennifer Rebecca Shibley, PSY.D., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 780, Peoria, IL 61602 Phone: 309-672-5946 Fax: 309-672-3155 | |
Patresa R Brager, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 515 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6724 Fax: 309-655-4408 | |
Dr. Jie Jiao, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 202, Peoria, IL 61614 Phone: 888-428-7890 Fax: 877-428-7890 | |
Jean L Clore, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, 7 West, Peoria, IL 61636 Phone: 309-671-8222 | |
Dawn C Roberts, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4307 W Rustic Hollow Dr, Peoria, IL 61615 Phone: 309-712-2744 | |
Dr. Mary Mccartney Keil, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 411 Dr. Martin Luther King Jr. Drive, Peoria, IL 61605 Phone: 309-497-0790 |