Scout Sanders, | |
929 Stacey Burk Dr, Flora, IL 62839-3241 | |
(618) 662-2131 | |
Not Available |
Full Name | Scout Sanders |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 929 Stacey Burk Dr, Flora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093575508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149026492 (Illinois) | Primary |
Entity Name | County Of Clay |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969 |
Mailing Address | Practice Location Address |
---|---|
Scout Sanders, 708 Shadwell Ave, Flora, IL 62839-2309 Ph: () - | Scout Sanders, 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-2131 |
Roberta Hinman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 N Main St, Flora, IL 62839 Phone: 618-662-2398 | |
Christina L Brown, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 911 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131 | |
Ms. Teresa C. Boose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 929 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2191 Fax: 618-662-8090 |