Mrs Jennifer Crockett, | |
118 E Court St, Paris, IL 61944-2210 | |
(217) 465-4118 | |
(217) 463-1899 |
Full Name | Mrs Jennifer Crockett |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 118 E Court St, Paris, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235396250 | NPI | - | NPPES |
150007815 | Other | IL | IL LICENSED SOCIAL WORKER MASTERS |
149014166 | Other | IL | ILLINOIS DIVISION OF PROFESSIONAL REGULATIONS |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Human Resources Center Of Edgar And Clark Counties | 4284682279 | 7 |
Entity Name | Human Resources Center Of Edgar And Clark Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790942761 PECOS PAC ID: 4284682279 Enrollment ID: O20050106000327 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Crockett, Po Box 1118, 118 East Court Street, Paris, IL 61944-5118 Ph: (217) 465-4118 | Mrs Jennifer Crockett, 118 E Court St, Paris, IL 61944-2210 Ph: (217) 465-4118 |
Miss Michelle L Tate, Counselor Medicare: Medicare Enrolled Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 | |
Judy Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 | |
Julie Kerz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 | |
Amy Kessler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 E Court St, Paris, IL 61944 Phone: 217-465-4118 | |
Grayce Hightshoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 E Court St, Paris, IL 61944 Phone: 217-465-4118 | |
Robert M Angus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 | |
Rodrick Neeson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Court St, Paris, IL 61944 Phone: 217-465-4118 Fax: 217-463-1899 |