Lisa Sarkees Dacko, | |
220 Barton Blvd, Rockledge, FL 32955-2742 | |
(321) 241-6800 | |
(321) 241-6890 |
Full Name | Lisa Sarkees Dacko |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 220 Barton Blvd, Rockledge, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669948261 | NPI | - | NPPES |
106729300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW13972 (Florida) | Primary |
Entity Name | Blue Moon Senior Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205129186 PECOS PAC ID: 6103099759 Enrollment ID: O20111027000391 |
Entity Name | Brevard Health Alliance Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013355726 PECOS PAC ID: 0446201768 Enrollment ID: O20151124000192 |
Mailing Address | Practice Location Address |
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Lisa Sarkees Dacko, Po Box 1137, Melbourne, FL 32902-1137 Ph: (321) 952-9696 | Lisa Sarkees Dacko, 220 Barton Blvd, Rockledge, FL 32955-2742 Ph: (321) 241-6800 |
Rosa Estela Flint, RN, BC, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Mc Iver Ln, Rockledge, FL 32955 Phone: 321-631-8569 | |
Ashley Robertson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3067 Temple Ln, Rockledge, FL 32955 Phone: 321-698-9280 | |
Jacob Markisen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 Pathfinder Way, Rockledge, FL 32955 Phone: 321-639-1224 | |
Mr. Alan P Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2588 Addington Cir, Rockledge, FL 32955 Phone: 321-757-4030 Fax: 321-369-9836 | |
Mrs. Jennifer Sarah Waszmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Coral Sands Dr, Rockledge, FL 32955 Phone: 321-632-5792 | |
Grenita Brooks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 370 Pebble Hill Way, Rockledge, FL 32955 Phone: 321-525-6735 | |
Mrs. Magalie Nicolas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Mciver Ln, Rockledge, FL 32955 Phone: 321-631-8569 Fax: 321-631-6530 |