Dr Derek Phillips, PSYD | |
700 W Lincoln Ave, Charleston, IL 61920-2467 | |
(217) 238-4042 | |
(217) 238-4053 |
Full Name | Dr Derek Phillips |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 9 Years |
Location | 700 W Lincoln Ave, Charleston, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467902809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 071.009513 (Illinois) | Secondary |
103TP0016X | Psychologist - Prescribing (medical) | 074.000012 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Phillips, PSYD Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Dr Derek Phillips, PSYD 700 W Lincoln Ave, Charleston, IL 61920-2467 Ph: (217) 238-4042 |
Dr. Linda Leal, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2611 Salem Rd, Charleston, IL 61920 Phone: 217-348-8867 Fax: 217-348-8867 | |
Dr. Ronald Ray Sellers, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2308 Andover Pl, Charleston, IL 61920 Phone: 217-825-4335 | |
Dr. Jerry L. Boyd, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1901 18th St, Charleston, IL 61920 Phone: 217-348-7911 Fax: 217-348-3909 |