| A & E Behavioral Health Care Associates Pc | |
|
2570 Federal Drive Decatur IL 62526 | |
| (217) 872-1003 | |
| (217) 233-4150 |
| Full Name | A & E Behavioral Health Care Associates Pc |
|---|---|
| Speciality | Counselor |
| Location | 2570 Federal Drive, Decatur, Illinois |
| Authorized Official Name and Position | Indigo Butt (BILLING DEPARTMENT) |
| Authorized Official Contact | 2178721003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A & E Behavioral Health Care Associates Pc 2570 Federal Drive Decatur IL 62526 Ph: (217) 872-1003 | A & E Behavioral Health Care Associates Pc 2570 Federal Drive Decatur IL 62526 Ph: (217) 872-1003 |
| NPI Number | 1023171006 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/03/2009 |
| Medicare PECOS PAC ID | 6709893936 |
|---|---|
| Medicare Enrollment ID | O20060314000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023171006 | NPI | - | NPPES |
| 05821971 | Other | IL | BCBS |
| Provider Name | Beverly J Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558463760 PECOS PAC ID: 6608814025 Enrollment ID: I20070301000374 |
| Provider Name | Evelyn A Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881763985 PECOS PAC ID: 6204980667 Enrollment ID: I20090819000681 |
| Provider Name | Geniel M Grabowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811066913 PECOS PAC ID: 6507910650 Enrollment ID: I20090825000031 |
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