| Peter Angelo Zammuto, PSYD | |
|
7210 E State St Ste 204, Rockford, IL 61108-2636 | |
| (608) 313-4340 | |
| (815) 595-4628 |
| Full Name | Peter Angelo Zammuto |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 7210 E State St Ste 204, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609643519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071011118 (Illinois) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Angelo Zammuto, PSYD 7210 E State St Ste 204, Rockford, IL 61108-2636 Ph: (608) 313-4340 | Peter Angelo Zammuto, PSYD 7210 E State St Ste 204, Rockford, IL 61108-2636 Ph: (608) 313-4340 |
Dr. Frank Eugene Cushing, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2823 Glenwood Ave, Rockford, IL 61101 Phone: 815-968-5342 Fax: 815-968-4656 | |
James M Viggiano, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6975 Redansa Dr, Rockford, IL 61108 Phone: 815-398-7000 Fax: 815-398-0671 | |
Dr. Jennifer Mary Wilson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5702 Elaine Dr, Suite A, Rockford, IL 61108 Phone: 815-601-3981 Fax: 815-399-1959 | |
Dr. George Joseph Didier, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6066 Strathmoor Dr, C3, Rockford, IL 61107 Phone: 815-399-2611 Fax: 815-885-2611 | |
Dr. Thomas Boone Dudgeon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr, 3c, Rockford, IL 61107 Phone: 815-399-9303 Fax: 815-399-9306 | |
Dr. Sheila M Stone, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5301 E State St, Ste. 203, Rockford, IL 61108 Phone: 866-874-5381 | |
Judith Trigg, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6072 Brynwood Dr, Ste 105, Rockford, IL 61114 Phone: 815-398-7000 Fax: 815-395-0671 |