Brandy Ellen Deaton
Case Manager/Care Coordinator in Lawrenceville, IL. Individual provider (NPI-1).
NPI number1750106134
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1750106134
- Entity type
- Individual (NPI-1)
- Name
- Brandy Ellen Deaton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2024
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2101 James StLawrenceville, IL 62439-2027
Phone 618-943-3302
Mailing address
2101 James StLawrenceville, IL 62439-2027
Phone 618-943-3302
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Case Manager/Care Coordinator providers in Lawrenceville · All 242 providers in Lawrenceville
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