Dr Jeremy Todd Bidwell, PHD | |
111 Dean St, Woodstock, IL 60098-3220 | |
(815) 344-5061 | |
(815) 344-5072 |
Full Name | Dr Jeremy Todd Bidwell |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 16 Years |
Location | 111 Dean St, Woodstock, 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 |
---|---|---|---|
1609108703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.007831 (Illinois) | Secondary |
103TP0016X | Psychologist - Prescribing (medical) | 074.000011 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Lodestone Center For Behavioral Health Pc | 6709128317 | 22 |
Entity Name | The Lodestone Center For Behavioral Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619448222 PECOS PAC ID: 6709128317 Enrollment ID: O20190501001853 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Todd Bidwell, PHD 111 Dean St, Woodstock, IL 60098-3220 Ph: (815) 344-5061 | Dr Jeremy Todd Bidwell, PHD 111 Dean St, Woodstock, IL 60098-3220 Ph: (815) 344-5061 |
Samantha C Kurkjian, CP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072 | |
Dr. Kelly Vinehout, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1090 Mcconnell Rd, Woodstock, IL 60098 Phone: 815-245-6669 Fax: 815-334-1640 | |
Dr. Heidi Dooley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 262-488-8833 | |
Desiree Cherie Hawley, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 815-344-5061 | |
Dr. Anna M. Stokesberry, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11618 Mcconnell Rd, Woodstock, IL 60098 Phone: 224-400-9961 | |
Bonnie E. Marable, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 645 Mchenry Ave, Woodstock, IL 60098 Phone: 815-337-1234 |