Dr Abigail Ryan Bilderback, PHD | |
300 W Oak St, Carbondale, IL 62901-1400 | |
(618) 536-6621 | |
(618) 453-1102 |
Full Name | Dr Abigail Ryan Bilderback |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 300 W Oak St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275245300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.008877 (Illinois) | Primary |
Entity Name | Board Of Trustees Of Southern Illinois University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
---|---|
Dr Abigail Ryan Bilderback, PHD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Dr Abigail Ryan Bilderback, PHD 300 W Oak St, Carbondale, IL 62901-1400 Ph: (618) 536-6621 |
Jacqueline N Buck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Fishback Rd, Carbondale, IL 62901 Phone: 618-457-1111 Fax: 618-351-1419 | |
Christian Hope Gillespie, PHD, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 810 N Wall St, Carbondale, IL 62901 Phone: 310-270-5878 | |
Dr. Matthew Eric Denis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-4488 Fax: 618-457-8844 | |
Sylvia Lane, PSYD, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 810 N Wall St, Carbondale, IL 62901 Phone: 773-551-7536 | |
Dr. Jeffrey Saunders Kellogg, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-4488 Fax: 618-457-8844 | |
Aireal Dee Weber, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-529-4563 | |
Dr. Warren Thomas Bush, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 374 E Grand Ave, Carbondale, IL 62901 Phone: 618-453-5371 |