| Arrowleaf | |
|
125 North Market Street Golconda IL 62938 | |
| (618) 683-2461 | |
| (618) 683-2066 |
| Full Name | Arrowleaf |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 North Market Street, Golconda, Illinois |
| Authorized Official Name and Position | Laura K Cowser (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 6186583079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arrowleaf Po Box 759 125 North Market Street Golconda IL 62938-0759 Ph: (618) 683-2461 | Arrowleaf 125 North Market Street Golconda IL 62938 Ph: (618) 683-2461 |
| NPI Number | 1538114608 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Medicare PECOS PAC ID | 2567535123 |
|---|---|
| Medicare Enrollment ID | O20080829000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538114608 | NPI | - | NPPES |
| Provider Name | Jyoti K Randhawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205037595 PECOS PAC ID: 3274710603 Enrollment ID: I20110610000401 |
| Provider Name | Biana Kotlyar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023397668 PECOS PAC ID: 1759520687 Enrollment ID: I20140811002725 |
| Provider Name | Jo A Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126799 PECOS PAC ID: 5193004562 Enrollment ID: I20161108001888 |
| Provider Name | Marta A Galecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336407105 PECOS PAC ID: 2264702711 Enrollment ID: I20191002000464 |
| Provider Name | David Widitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205015906 PECOS PAC ID: 7214172766 Enrollment ID: I20231101002847 |
Arrowleaf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 North Market Street, Golconda, IL 62938 Phone: 618-683-2461 Fax: 618-683-2066 | |
Timber View Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Job Corps Rd, Golconda, IL 62938 Phone: 270-997-1065 | |
Family Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Market St, Golconda, IL 62938 Phone: 618-683-2461 | |
Family Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 99aa, Golconda, IL 62938 Phone: 618-683-2461 |