Jay Newell, | |
2701 17th St, Ryc Access Department, Rock Island, IL 61201-5351 | |
(309) 779-3001 | |
(309) 779-2078 |
Full Name | Jay Newell |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2701 17th St, Rock Island, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831573138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180005041 (Illinois) | Primary |
Entity Name | Vera French Community Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245291129 PECOS PAC ID: 6103715214 Enrollment ID: O20040315000814 |
Mailing Address | Practice Location Address |
---|---|
Jay Newell, 2701 17th St., Ryc Access Department, Rock Island, IL 61201 Ph: (309) 779-3001 | Jay Newell, 2701 17th St, Ryc Access Department, Rock Island, IL 61201-5351 Ph: (309) 779-3001 |
Amber Leanne Cozad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61254 Phone: 309-779-2031 | |
Ibrahim K Tarawneh, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-3006 | |
Rita Sterling, MCJ, CADC, CPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 19th St, Department Of Veterans Affairs, Ste. M2, Rock Island, IL 61201 Phone: 309-786-3591 Fax: 309-786-5135 | |
Brandon Alan Kutmas, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4709 44th St Ste 5, Rock Island, IL 61201 Phone: 309-306-1648 Fax: 309-213-9438 | |
Amber Michelle Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-2031 | |
Natividad Keim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4703 44th St, Rock Island, IL 61201 Phone: 309-786-0770 | |
Mrs. Stacy Hayes Kane, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 3rd Avenue, Suite 512, Rock Island, IL 61201 Phone: 309-786-4491 Fax: 309-786-0205 |