Mrs Tamara Marie Lott, LCPC, CRC | |
515 Ne Glen Oak Ave Ste 101, Osf Saint Francis Medical Center, Peoria, IL 61603-3167 | |
(309) 655-7795 | |
(309) 655-4609 |
Full Name | Mrs Tamara Marie Lott |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 515 Ne Glen Oak Ave Ste 101, 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 |
---|---|---|---|
1013037373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 180-003547 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180003547 (Illinois) | Primary |
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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Mrs Tamara Marie Lott, LCPC, CRC 5503 N Pepperwood Ct, Peoria, IL 61615-3273 Ph: (309) 256-0114 | Mrs Tamara Marie Lott, LCPC, CRC 515 Ne Glen Oak Ave Ste 101, Osf Saint Francis Medical Center, Peoria, IL 61603-3167 Ph: (309) 655-7795 |
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 | |
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 |