Patricia Mortensen, | |
310 E Torrance Ave, Pontiac, IL 61764-2748 | |
(815) 844-6109 | |
(815) 844-3561 |
Full Name | Patricia Mortensen |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 310 E Torrance Ave, Pontiac, 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 |
---|---|---|---|
1154760619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149015725 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Counseling And Coaching Of Illinois Llc | 5496093213 | 10 |
Entity Name | Alliance Counseling & Coaching Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796 |
Mailing Address | Practice Location Address |
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Patricia Mortensen, 310 E Torrance Ave, Pontiac, IL 61764-2748 Ph: () - | Patricia Mortensen, 310 E Torrance Ave, Pontiac, IL 61764-2748 Ph: (815) 844-6109 |
Mrs. Ashley Nichole Frizzell, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 310 E Howard St, Pontiac, IL 61764 Phone: 815-791-2955 | |
Judy Ripsch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E Timber St # A, Pontiac, IL 61764 Phone: 815-844-2610 Fax: 815-844-2652 | |
Jessica J Siwak, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Ms. Ann Christine Crumpler, MSSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Suite 207 St. James Hospital, Psychology Specialists, Pontiac, IL 61764 Phone: 815-579-9002 Fax: 309-588-4115 | |
Carrie Hamilton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Kaleigh Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109 |