Gregory P Brenneisen, LCSW | |
1 Veterans Drive, Manteno, IL 60950 | |
(815) 468-6581 | |
(815) 468-7001 |
Full Name | Gregory P Brenneisen |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1 Veterans Drive, Manteno, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548327422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Entity Name | Illinois Veterans Home At Manteno |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831248228 PECOS PAC ID: 1658274881 Enrollment ID: O20040127000854 |
Mailing Address | Practice Location Address |
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Gregory P Brenneisen, LCSW 1 Veterans Drive, Bldg A2m, Manteno, IL 60950 Ph: (217) 222-9487 | Gregory P Brenneisen, LCSW 1 Veterans Drive, Manteno, IL 60950 Ph: (815) 468-6581 |
Sarah J Falk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Main Street, Rear, Manteno, IL 60950 Phone: 815-351-4245 | |
Ginger Friedericks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 372 S Walnut St Apt 5, Manteno, IL 60950 Phone: 815-450-8643 | |
Adele Human, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 698 N Locust St, Manteno, IL 60950 Phone: 800-240-7011 Fax: 815-730-4918 | |
Mr. Arthur J Mattson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 571 Leahy St, Manteno, IL 60950 Phone: 815-258-4910 | |
Carolyn Domont, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Manteno, IL 60950 Phone: 815-907-3540 |