Mr August Supan, MSW | |
750 Broadway Ave E, Mattoon, IL 61938-4610 | |
(217) 238-5700 | |
(217) 238-5767 |
Full Name | Mr August Supan |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 51 Years |
Location | 750 Broadway Ave E, Mattoon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598851040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149-007817 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coles County Mental Health Association Inc | 9537194329 | 2 |
Entity Name | Coles County Mental Health Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942203914 PECOS PAC ID: 9537194329 Enrollment ID: O20070516000072 |
Mailing Address | Practice Location Address |
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Mr August Supan, MSW 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700 | Mr August Supan, MSW 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700 |
Mrs. Rachel L Duhamell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Theresa Mai Ditchfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 N 21st St, Mattoon, IL 61938 Phone: 910-987-9296 | |
Jessica L. Kleiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Rachel Stuckey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 800-454-4055 | |
Mrs. Hillarie Mieure, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Terra Lynn Ogle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Ms. Kelli D Canada, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 911 Remington Rd Ste B, Mattoon, IL 61938 Phone: 217-234-3091 Fax: 217-543-2548 |