Debra Leigh Bryant, LCSW | |
11375 Linden Blossom Ln, Roscoe, IL 61073-9425 | |
(815) 914-1484 | |
Not Available |
Full Name | Debra Leigh Bryant |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 41 Years |
Location | 11375 Linden Blossom Ln, Roscoe, 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 |
---|---|---|---|
1902278112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.001379 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vitae Health Of Illinois Llc | 2365798410 | 149 |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
---|---|
Debra Leigh Bryant, LCSW 11375 Linden Blossom Ln, Roscoe, IL 61073-9425 Ph: (815) 914-1484 | Debra Leigh Bryant, LCSW 11375 Linden Blossom Ln, Roscoe, IL 61073-9425 Ph: (815) 914-1484 |
Andrea Olson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5334 Williams Dr, Roscoe, IL 61073 Phone: 815-871-0957 Fax: 866-813-6462 | |
Abagail M Keegan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324 Fax: 866-927-3053 | |
Ms. Vicki Elizabeth Marcum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11447 2nd St, 9b, Roscoe, IL 61073 Phone: 815-997-3225 Fax: 815-965-4732 | |
Benjamin Mullineaux, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10126 Clearwing Ln, Roscoe, IL 61073 Phone: 618-203-2927 | |
Kim Marie Donovan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 | |
Carlina Hart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9a&9b, Roscoe, IL 61073 Phone: 815-601-4673 | |
Maureen M Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 |