| Athena Dacanay, PSYD | |
|
808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 | |
| (309) 706-3190 | |
| (309) 706-3190 |
| Full Name | Athena Dacanay |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 8 Years |
| Location | 808 S Eldorado Rd Ste 102, Bloomington, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255853396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.009576 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cotswold Clinician Support Services Pllc | 3971884511 | 10 |
| Entity Name | Cotswold Clinician Support Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063893568 PECOS PAC ID: 3971884511 Enrollment ID: O20161220000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Dacanay, PSYD Po Box 604, Bloomington, IL 61702-0604 Ph: (309) 706-3190 | Athena Dacanay, PSYD 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 Ph: (309) 706-3190 |
Cheri L. Miller, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 303 N Hershey Rd Ste D1, Bloomington, IL 61704 Phone: 309-268-3529 Fax: 309-268-2323 | |
Dr. Michael C. Baum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-820-3500 | |
Mr. Scott M Hogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 E Hamilton Rd, Bloomington, IL 61704 Phone: 309-828-5231 | |
Dr. Trisha Dyan Mann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 103 N Regency Dr, Bloomington, IL 61701 Phone: 309-661-8046 Fax: 309-661-8093 | |
Dr. Paul Flores, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 308, Bloomington, IL 61701 Phone: 309-204-6766 | |
Dr. Raymond Michael Bergner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821 | |
Dr. Laurie L. Bergner, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821 |