Miranda L Perrero, LCSW | |
1008 Timber Dr, Mahomet, IL 61853-3523 | |
(309) 337-1318 | |
Not Available |
Full Name | Miranda L Perrero |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1008 Timber Dr, Mahomet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427545847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149023062 (Illinois) | Primary |
Entity Name | Renalcare Associates, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524 |
Entity Name | Evergreen Nephrology Of The Midwest, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801597869 PECOS PAC ID: 3476914961 Enrollment ID: O20230731003747 |
Mailing Address | Practice Location Address |
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Miranda L Perrero, LCSW 1008 Timber Dr, Mahomet, IL 61853-3523 Ph: () - | Miranda L Perrero, LCSW 1008 Timber Dr, Mahomet, IL 61853-3523 Ph: (309) 337-1318 |
Dawn Marie Taylor, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Christopher Dring Difilippo, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1205 Riverside Ct, Mahomet, IL 61853 Phone: 217-369-9183 | |
Tessa Valeu, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Rebecca Richards, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2659 County Road 350 E, Mahomet, IL 61853 Phone: 217-372-4157 | |
Matthew Carter, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Jessica L Mcclellan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 |