Ms Tracy Ann Stucker, LCSW | |
1515 W Walnut St Ste 1, Jacksonville, IL 62650-1159 | |
(217) 245-7275 | |
(217) 245-7427 |
Full Name | Ms Tracy Ann Stucker |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 1515 W Walnut St Ste 1, Jacksonville, 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 |
---|---|---|---|
1518022649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 149-012226 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Siu Physicians And Surgeons Inc | 2365352820 | 282 |
Entity Name | Siu Physicians & Surgeons Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Entity Name | Center For Psychiatric Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063680239 PECOS PAC ID: 8729166228 Enrollment ID: O20080424000263 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracy Ann Stucker, LCSW 1515 W Walnut St Ste 1, Jacksonville, IL 62650-1159 Ph: (217) 245-7275 | Ms Tracy Ann Stucker, LCSW 1515 W Walnut St Ste 1, Jacksonville, IL 62650-1159 Ph: (217) 245-7275 |
Robert L. Heape, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W State St, Jacksonville, IL 62650 Phone: 217-245-6126 Fax: 217-245-4296 | |
Megan Vant, MA, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E State St, Jacksonville, IL 62650 Phone: 217-408-1195 Fax: 217-408-1231 | |
Nora A Bishop, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W State St, Jacksonville, IL 62650 Phone: 217-523-2217 Fax: 217-788-4147 | |
Ms. Yoli S Holmes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W State St, Jacksonville, IL 62650 Phone: 217-245-6126 Fax: 217-245-4296 | |
Antonia J Genisio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Ln Ste 100, Jacksonville, IL 62650 Phone: 217-243-0300 Fax: 217-245-6775 | |
Shelley L Reither, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 557 N Westgate Ave, Jacksonville, IL 62650 Phone: 217-245-7275 Fax: 217-245-7427 | |
Andrea Rollins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Lincoln Ave, Jacksonville, IL 62650 Phone: 217-243-8849 |