Anthony Mason, | |
3420 Lacrosse Ln Ste Office4, Naperville, IL 60564-8279 | |
(630) 473-3971 | |
Not Available |
Full Name | Anthony Mason |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3420 Lacrosse Ln Ste Office4, Naperville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528647427 | NPI | - | NPPES |
150104345 | Other | IL | THROUGH COMPANY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149023666 (Illinois) | Primary |
104100000X | Social Worker | 150104345 (Illinois) | Secondary |
Entity Name | Edgewood Clinical Services P.c. |
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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 |
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Anthony Mason, 1699 E Woodfield Rd Ste 402, Schaumburg, IL 60173-4958 Ph: (224) 404-0277 | Anthony Mason, 3420 Lacrosse Ln Ste Office4, Naperville, IL 60564-8279 Ph: (630) 473-3971 |
Kelsey Wild, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1560 Wall St Ste 204, Naperville, IL 60563 Phone: 815-541-5365 | |
Jeffrey Thomas Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 616 W 5th Ave, Suite B, Naperville, IL 60563 Phone: 630-717-7771 | |
Katharine Waller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 E 5th Ave Ste 109, Naperville, IL 60563 Phone: 331-457-2020 | |
Ms. Janet Ann Greif, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 N Naperville Wheaton Rd, Suite 111, Naperville, IL 60563 Phone: 630-258-2133 Fax: 630-961-9830 | |
Kathleen Goldman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3380 Lacrosse Ln Ste 101, Naperville, IL 60564 Phone: 847-636-8226 | |
Marie Sawyer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 852 S West St, Naperville, IL 60540 Phone: 630-305-5810 | |
Cheryl Ann Petersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1770 Park St, Suite 107, Naperville, IL 60563 Phone: 630-355-7055 Fax: 630-427-0565 |