| Jamie L Wasilewski, PHD | |
|
319 E Madison St Fl 3, Springfield, IL 62701-1035 | |
| (217) 545-8000 | |
| Not Available |
| Full Name | Jamie L Wasilewski |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 319 E Madison St Fl 3, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083717490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1535 (Oregon) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.010808 (Illinois) | Primary |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie L Wasilewski, PHD 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000 | Jamie L Wasilewski, PHD 319 E Madison St Fl 3, Springfield, IL 62701-1035 Ph: (217) 545-8000 |
Catherine Anne Brodehl, PSYD, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5230 S 6th Street Rd, Springfield, IL 62703 Phone: 217-585-1180 Fax: 217-585-4747 | |
Gabrielle Kaminsky, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste 8022, Springfield, IL 62704 Phone: 312-447-9514 | |
Dale Robert Korinek, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 319 E Madison St, Springfield, IL 62701 Phone: 217-545-7625 | |
Dr. Helen Pugacz Appleton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Springfield Psychological Center, 2325 West White Oaks Drive, Suite C, Springfield, IL 62704 Phone: 217-793-3949 Fax: 217-793-3995 | |
Dr. Rebecca D Anderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704 Phone: 217-862-0400 Fax: 217-862-0440 | |
F Cal Robinson, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2844 E Lake Shore Dr, Springfield, IL 62712 Phone: 757-349-3525 |