| Shelby L Payne, LCSW | |
|
11101 N Wells Bypass Rd, Mount Vernon, IL 62864-6588 | |
| (618) 927-6119 | |
| Not Available |
| Full Name | Shelby L Payne |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11101 N Wells Bypass Rd, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205691425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149026554 (Illinois) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 149026554 (Illinois) | Secondary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby L Payne, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Shelby L Payne, LCSW 11101 N Wells Bypass Rd, Mount Vernon, IL 62864-6588 Ph: (618) 927-6119 |
Mr. Curtis William Boehne, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Doctors Park Rd, Suite G, Mount Vernon, IL 62864 Phone: 618-246-2910 Fax: 618-246-2912 | |
Mrs. Kristina Michelle Zettler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 N 27th St, Mount Vernon, IL 62864 Phone: 618-242-5614 | |
Celeste Robinson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 Shiloh Dr, Mount Vernon, IL 62864 Phone: 618-242-6944 | |
Stacie Lynn Carr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1304 Plum Ave, Mount Vernon, IL 62864 Phone: 618-335-7364 | |
Mrs. Darla B Wexstten, MSW, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864 Phone: 618-242-4205 Fax: 618-242-4209 | |
Scott Murray, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 310 Main St, Mount Vernon, IL 62864 Phone: 618-244-0212 Fax: 618-244-0535 | |
Mrs. Lindsey Marie Adams Greenwalt, M.S.W. L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3600 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0212 Fax: 618-244-0535 |