Kyle Marc Kovski, | |
1110 Arbor Dr, Suite A, Decatur, IL 62526-9285 | |
(217) 877-9217 | |
Not Available |
Full Name | Kyle Marc Kovski |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1110 Arbor Dr, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881147379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Entity Name | Board Of Trustees Of Southern Illinois University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
---|---|
Kyle Marc Kovski, 2416 Basil Dr, Springfield, IL 62707-8873 Ph: (217) 494-9839 | Kyle Marc Kovski, 1110 Arbor Dr, Suite A, Decatur, IL 62526-9285 Ph: (217) 877-9217 |
Carrie A Ray, Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 | |
Robert Lesley Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 | |
Ms. Linda L Warden-michl, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 S Water St, Suite 630, Decatur, IL 62523 Phone: 217-330-6963 | |
Michelle Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Lesa J Mcmahon-lowe, LPC Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-420-4776 Fax: 217-362-6259 | |
Marilyn Stevens, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 363 S Main St, Suite 220, Decatur, IL 62523 Phone: 217-638-5545 Fax: 217-424-1633 | |
Kelly Thurston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 |