Jessica Poelker, | |
550 Montauk Hwy, Shirley, NY 11967-2114 | |
(631) 490-3040 | |
Not Available |
Full Name | Jessica Poelker |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 550 Montauk Hwy, Shirley, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982266060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (New York) | Primary |
Entity Name | Sun River Health Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Mailing Address | Practice Location Address |
---|---|
Jessica Poelker, 550 Montauk Hwy, Shirley, NY 11967-2114 Ph: (631) 490-3040 | Jessica Poelker, 550 Montauk Hwy, Shirley, NY 11967-2114 Ph: (631) 490-3040 |
Aimee B Meyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1070 Fax: 631-852-1119 | |
Mr. Robert H. Chmielewski, CASAE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 464-10 William Floyd, Shirley, NY 11967 Phone: 631-399-9217 Fax: 631-399-9225 | |
Ms. Linda Ann Santanello, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 464-10 William Floyd Parkway, Shirley, NY 11967 Phone: 631-399-9217 Fax: 631-399-9225 | |
Mr. Philip Joachim Antz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 470 Starlight Dr, Shirley, NY 11967 Phone: 631-345-6310 Fax: 631-775-6601 | |
Ashley Walker-dickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1070 Fax: 631-852-1119 | |
Jacquelyn M. Gilde, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1070 Fax: 631-852-1119 | |
Jay A Hart, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 91 Oak Ave, Shirley, NY 11967 Phone: 631-645-4262 |