| Dr Samuel Brian Mcintyre, EDD | |
|
7309 N Knoxville Ave, Peoria, IL 61614-2085 | |
| (309) 692-9898 | |
| (309) 692-9055 |
| Full Name | Dr Samuel Brian Mcintyre |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 39 Years |
| Location | 7309 N Knoxville Ave, 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 |
|---|---|---|---|
| 1386608008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Brian Mcintyre, EDD 7309 N Knoxville Ave, Peoria, IL 61614-2085 Ph: (309) 692-9898 | Dr Samuel Brian Mcintyre, EDD 7309 N Knoxville Ave, Peoria, IL 61614-2085 Ph: (309) 692-9898 |
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 |