Jacqueline A Madunic, LCSW | |
2545 24th St, Rock Island, IL 61201-5305 | |
(309) 788-0458 | |
Not Available |
Full Name | Jacqueline A Madunic |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 2545 24th St, Rock Island, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659889913 | NPI | - | NPPES |
089569 | Other | IA | LICENSE |
149.006129 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.006129 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 7214841436 | 179 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline A Madunic, LCSW 1919 34th St, Moline, IL 61265-4343 Ph: (309) 428-9601 | Jacqueline A Madunic, LCSW 2545 24th St, Rock Island, IL 61201-5305 Ph: (309) 788-0458 |
Mrs. Kimberly Jo Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 Fax: 309-788-9608 | |
Janna Elizabeth Richards, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2800 | |
Kathryn Elizabeth Lally, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-788-9581 | |
Nicholas Markovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 18th St, Suite 208, Rock Island, IL 61201 Phone: 309-283-7361 Fax: 309-283-7362 | |
Rita Baugh, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rock Island Arsenal, Gillespie St. Bldg. 131, Rock Island, IL 61299 Phone: 309-782-5143 | |
Evan Harris, LCSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 19th St Ste 102, Rock Island, IL 61201 Phone: 309-236-9553 | |
Amber Michelle Dopler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4703 44th St Ste 3, Rock Island, IL 61201 Phone: 309-788-9581 Fax: 309-788-9608 |