Emma Kathryn Bucher, PSYD | |
6615 N. Big Hollow Rd, Peoria, IL 61615-2451 | |
(309) 692-6622 | |
(309) 692-6952 |
Full Name | Emma Kathryn Bucher |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 6615 N. Big Hollow Rd, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619523479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071.010112 (Illinois) | Primary |
Entity Name | Genesis Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477184356 PECOS PAC ID: 5193154342 Enrollment ID: O20201002001765 |
Mailing Address | Practice Location Address |
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Emma Kathryn Bucher, PSYD 6615 N. Big Hollow Rd, Peoria, IL 61615-2451 Ph: (309) 692-6622 | Emma Kathryn Bucher, PSYD 6615 N. Big Hollow Rd, Peoria, IL 61615-2451 Ph: (309) 692-6622 |
Brycie Weiden, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 515 Ne Glen Oak Ave Ste 101, Peoria, IL 61603 Phone: 309-655-7378 | |
Dr. Jennifer Rebecca Shibley, PSY.D., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 780, Peoria, IL 61602 Phone: 309-672-5946 Fax: 309-672-3155 | |
Patresa R Brager, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 515 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6724 Fax: 309-655-4408 | |
Dr. Jie Jiao, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 202, Peoria, IL 61614 Phone: 888-428-7890 Fax: 877-428-7890 | |
Anthony Perino, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7317 N Willow Lake Ct, Peoria, IL 61614 Phone: 309-683-7373 Fax: 309-691-4408 | |
Dr. Tiffany Abrego, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 900 Main St Ste 720, Peoria, IL 61602 Phone: 309-495-1640 | |
Jean L Clore, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, 7 West, Peoria, IL 61636 Phone: 309-671-8222 |