| Jessica Nicole Thomas, | |
|
4600 3rd St, Moline, IL 61265-6106 | |
| (309) 779-2031 | |
| Not Available |
| Full Name | Jessica Nicole Thomas |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4600 3rd St, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932848934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.025552 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | (Illinois) | Secondary |
| 104100000X | Social Worker | (Illinois) | Secondary |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Nicole Thomas, 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-2031 | Jessica Nicole Thomas, 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-2031 |
Ms. Joan Timmermann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 | |
Ms. Rosemary Jordan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 52nd Ave, Moline, IL 61265 Phone: 309-797-2900 Fax: 309-797-2417 | |
Rebekah Ann Clark, LPHA,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027 | |
Tammi A White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4600 3rd Street, Moline, IL 61265 Phone: 309-779-2031 Fax: 309-779-2027 | |
Olivia R Carrow, LCSW, LPHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2326 16th St, Moline, IL 61265 Phone: 309-283-1203 | |
Ms. Linda Wright-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 | |
Ms. Roxanne Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 |