Kerry A Heinz, LCPC | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-6724 | |
Not Available |
Full Name | Kerry A Heinz |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245393677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178-004532 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.007648 (Illinois) | Primary |
Entity Name | Saint Francis Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023062312 PECOS PAC ID: 9032021258 Enrollment ID: O20080303000228 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Kerry A Heinz, LCPC 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2000 | Kerry A Heinz, LCPC 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-6724 |
Ms. Debra Fay Disney, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7617 N Villa Wood Ln, Peoria, IL 61614 Phone: 309-693-8200 | |
Julie Kristine Peters, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615 Phone: 309-550-1001 | |
Mrs. Linda L Zears, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262 | |
Mrs. Tamara Marie Lott, LCPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 515 Ne Glen Oak Ave Ste 101, Osf Saint Francis Medical Center, Peoria, IL 61603 Phone: 309-655-7795 Fax: 309-655-4609 | |
Dr. Michael S Shear, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Fulton St, Suite 101, Peoria, IL 61602 Phone: 309-673-9385 Fax: 309-673-9446 | |
Mrs. Sandra Susan Cross, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2522 W Stronehenge Ct, Peoria, IL 61615 Phone: 309-264-9517 | |
Mrs. Donna Jaree Brooks, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262 |