Brooke Frazer, MS | |
1200 Locust St, Eldorado, IL 62930-1723 | |
(618) 252-9036 | |
Not Available |
Full Name | Brooke Frazer |
---|---|
Gender | Female |
Speciality | Psychologist - School |
Location | 1200 Locust St, Eldorado, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568017853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
Entity Name | Easter Seals Rehabilitation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003979964 PECOS PAC ID: 8426135179 Enrollment ID: O20080407000063 |
Mailing Address | Practice Location Address |
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Brooke Frazer, MS 1315 Genesta Dr, Evansville, IN 47720-6217 Ph: (812) 622-0268 | Brooke Frazer, MS 1200 Locust St, Eldorado, IL 62930-1723 Ph: (618) 252-9036 |
Mr. Franko Gilbert Teston, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Locust St, Eldorado, IL 62930 Phone: 618-252-9036 | |
Jessica Lynne Tepe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Locust St, Eldorado, IL 62930 Phone: 618-252-9036 | |
Dr. Kathryn Bangs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 | |
Kelsey Atteberry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Locust St, Eldorado, IL 62930 Phone: 618-252-9036 | |
Michael Handwerk, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1007 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-7723 Fax: 618-273-3384 | |
Dr. Donald M Buckman, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 4th St, Eldorado, IL 62930 Phone: 224-325-5436 Fax: 618-273-2808 |