Patresa R Brager, PHD - Psychologist in Peoria, IL

Patresa R Brager, PHD is a Psychologist - Clinical based in Peoria, Illinois. Patresa R Brager is licensed to practice in Illinois (license number ) and her current practice location is 515 Ne Glen Oak Ave, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 655-6724.

NPI number for Patresa R Brager is 1043236573 and her current mailing address is 530 Ne Glen Oak Ave, Peoria, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043236573.

Contact Information

Patresa R Brager, PHD
515 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-6724
(309) 655-4408

Map and Direction




Healthcare Provider's Profile

Full NamePatresa R Brager
GenderFemale
SpecialityPsychologist - Clinical
Location515 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043236573
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Patresa R Brager such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043236573NPI-NPPES
207414OtherMEDICARE GROUP NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patresa R Brager is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patresa R Brager, PHD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2000
Patresa R Brager, PHD
515 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-6724

Reviews and Comments


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