| Comwell | |
|
10257 State Route 3 Red Bud IL 62278-4418 | |
| (618) 282-6233 | |
| (618) 282-6949 |
| Full Name | Comwell |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 10257 State Route 3, Red Bud, Illinois |
| Authorized Official Name and Position | Amy Bauer (IT COORDINATOR) |
| Authorized Official Contact | 6182826233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comwell 10257 State Route 3 Red Bud IL 62278-4418 Ph: (618) 282-6233 | Comwell 10257 State Route 3 Red Bud IL 62278-4418 Ph: (618) 282-6233 |
| NPI Number | 1134199037 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 6709848831 |
|---|---|
| Medicare Enrollment ID | O20041101000976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134199037 | NPI | - | NPPES |
| Provider Name | Hetal H Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083603872 PECOS PAC ID: 6305737008 Enrollment ID: I20040505000453 |
| Provider Name | Aqeel Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046735 PECOS PAC ID: 3678535457 Enrollment ID: I20041104000952 |
| Provider Name | Sara M Noennig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730590787 PECOS PAC ID: 7315161684 Enrollment ID: I20140609000351 |
| Provider Name | Rachael F Dompke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417339987 PECOS PAC ID: 8123328085 Enrollment ID: I20151125000088 |
| Provider Name | Ashley N Hundelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740720143 PECOS PAC ID: 1951686294 Enrollment ID: I20170328002374 |
| Provider Name | Nickie R Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316710 PECOS PAC ID: 4082990320 Enrollment ID: I20170420002200 |
| Provider Name | Allesha Crawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306390331 PECOS PAC ID: 5597005173 Enrollment ID: I20211223000699 |
| Provider Name | Shirley Marie Forcum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457067506 PECOS PAC ID: 1355714338 Enrollment ID: I20230223000415 |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route Three, Red Bud, IL 62278 Phone: 618-282-6233 | |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 | |
Deaconess Illinois Rural Health Clinic Red Bud Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-7373 Fax: 618-282-7376 | |
Health Focus Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 S Main St, Red Bud, IL 62278 Phone: 618-980-9060 Fax: 618-270-4775 | |
Growing Mindful Dbt And Wellness Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 126 Park Plaza Dr, Red Bud, IL 62278 Phone: 573-883-0372 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 |