Mike P Homan, LCSW | |
815 E 5th St, Suite 101, Alton, IL 62002 | |
(618) 474-6246 | |
(618) 474-6242 |
Full Name | Mike P Homan |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 815 E 5th St, Alton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952410060 | NPI | - | NPPES |
149.004407 | Other | IL | ILLINOIS LCSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.004407 (Illinois) | Primary |
Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437551322 PECOS PAC ID: 4284541806 Enrollment ID: O20150710000901 |
Mailing Address | Practice Location Address |
---|---|
Mike P Homan, LCSW 1 Saint Anthony's Way, 815 E 5th St. Suit 101, Alton, IL 62002 Ph: (618) 465-2571 | Mike P Homan, LCSW 815 E 5th St, Suite 101, Alton, IL 62002 Ph: (618) 474-6246 |
Lea Anne Varble, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 815 E 5th St, Suite 101, Alton, IL 62002 Phone: 618-463-5278 Fax: 618-474-6242 | |
Breauna Nicole Hurd, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Elaina Ward, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-7160 | |
Ms. Meredith Anne Parker, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, 2nd Floor, Olin Wing, Alton, IL 62002 Phone: 618-463-7523 Fax: 618-463-7896 | |
Ronald Quick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3644 Horn Ave, Alton, IL 62002 Phone: 314-252-8159 | |
Ms. Kelly Josette Medlin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 | |
Taylor Birch, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 |