Charles Clayton Wilcox, | |
359 S Capitol St, Pekin, IL 61554-4112 | |
(309) 620-0881 | |
Not Available |
Full Name | Charles Clayton Wilcox |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 359 S Capitol St, Pekin, 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 |
---|---|---|---|
1265831192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.016372 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Joy Miller | 6305018292 | 3 |
Entity Name | Joy Miller |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740471432 PECOS PAC ID: 6305018292 Enrollment ID: O20111019000553 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Charles Clayton Wilcox, 359 S Capitol St, Pekin, IL 61554-4112 Ph: (309) 620-0881 | Charles Clayton Wilcox, 359 S Capitol St, Pekin, IL 61554-4112 Ph: (309) 620-0881 |
Amanda Walner-cutright, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 | |
Kylanne Briggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 Sheridan Rd, Pekin, IL 61554 Phone: 309-863-5454 | |
Mrs. Rebecca A Ala, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-4264 | |
Jacqueline M Kipfer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 337 Country Club Dr Apt B, Pekin, IL 61554 Phone: 130-939-7983 | |
Patricia Ann Kutyna, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 S 4th St, Unit 1, Pekin, IL 61554 Phone: 309-346-2877 Fax: 309-346-7663 | |
Holly Conlin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 |