| Reagen Coridon Conklin, | |
|
1827 E Mccord St, Centralia, IL 62801-6589 | |
| (618) 608-0122 | |
| Not Available |
| Full Name | Reagen Coridon Conklin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1827 E Mccord St, Centralia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043012578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (NU) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Reagen Coridon Conklin, 4627 Cj Heck Rd, Salem, IL 62881-3727 Ph: (618) 780-4160 | Reagen Coridon Conklin, 1827 E Mccord St, Centralia, IL 62801-6589 Ph: (618) 608-0122 |
Angela R Zagorski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 224 S Locust St, Centralia, IL 62801 Phone: 618-532-4721 |
Ms. Kimberly Dawn Czerwinski, MS, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1910 E Mccord St, Centralia, IL 62801 Phone: 618-533-1200 |
Mrs. Suzanne Joy Overstreet, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Locust St, Centralia, IL 62801 Phone: 618-533-7133 |
Jennifer Lee Castellari, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 224 S Locust St, Centralia, IL 62801 Phone: 618-532-4721 |
Brooke Nicole Whittington, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: Heritage Woods Of Centralia, 2049 East Mccord St., Centralia, IL 62801 Phone: 618-439-9431 |
Whitney Rathmann, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 224 South Locust, Centralia, IL 62801 Phone: 618-532-4721 |
Mrs. Robin Nicole Reid, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 224 S Locust St, Centralia, IL 62801 Phone: 618-532-4721 |