| Mckane & Associates, Pc | |
|
1121 E Main St #210 St Charles IL 60174-2205 | |
| (630) 377-7226 | |
| (630) 377-8826 |
| Full Name | Mckane & Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1121 E Main St, St Charles, Illinois |
| Authorized Official Name and Position | Maureen Mckane (DIRECTOR) |
| Authorized Official Contact | 6303777226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckane & Associates, Pc 1121 E Main Str #210 St Charles IL 60174 Ph: (630) 377-7226 | Mckane & Associates, Pc 1121 E Main St #210 St Charles IL 60174-2205 Ph: (630) 377-7226 |
| NPI Number | 1962561001 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 3779758305 |
|---|---|
| Medicare Enrollment ID | O20111209000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962561001 | NPI | - | NPPES |
| 0004532166 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Maureen Mckane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528136637 PECOS PAC ID: 0143278929 Enrollment ID: I20050108000148 |
| Provider Name | Deborah M Miller-lunsford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568509412 PECOS PAC ID: 7113154402 Enrollment ID: I20131211002038 |
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