Stephanie Cocagne, LCPC | |
412 1/2 S Main Street, Unit 202, Galena, IL 61036 | |
(815) 281-1345 | |
Not Available |
Full Name | Stephanie Cocagne |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 412 1/2 S Main Street, Galena, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023427713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.008616 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 180.010813 (Illinois) | Primary |
Entity Name | Midwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952409765 PECOS PAC ID: 5698771848 Enrollment ID: O20070301000010 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Cocagne, LCPC Po Box 271, Galena, IL 61036-0271 Ph: (815) 281-1345 | Stephanie Cocagne, LCPC 412 1/2 S Main Street, Unit 202, Galena, IL 61036 Ph: (815) 281-1345 |
Rhonda Wasson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Kim Shird, Counselor Medicare: Medicare Enrolled Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Tracy Goetzinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Justina Wandling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Terri Tranel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Thomas John Dennis, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 800 Spring St Ste 101, Galena, IL 61036 Phone: 773-454-9176 |