Matthew Poquette, | |
113 Jay St, Scotia, NY 12302-1503 | |
(917) 584-9482 | |
Not Available |
Full Name | Matthew Poquette |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 113 Jay St, Scotia, 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 |
---|---|---|---|
1760910475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
Mailing Address | Practice Location Address |
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Matthew Poquette, 113 Jay St, Scotia, NY 12302-1503 Ph: (917) 584-9482 | Matthew Poquette, 113 Jay St, Scotia, NY 12302-1503 Ph: (917) 584-9482 |
Susan E Brown, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Ballston Ave, Scotia, NY 12302 Phone: 518-369-6661 | |
Kelly Herbert Anderson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 | |
Ms. Michele Lee Whinnery, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 209 Glen Ave, Scotia, NY 12302 Phone: 518-231-1906 Fax: 518-355-1573 | |
Oona Edmands, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 | |
Mrs. Jessica Brennan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Preddice Pkwy, Scotia-glenville Csd, Scotia, NY 12302 Phone: 518-382-1215 | |
Stephen Michael Lape, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Wallace St, Scotia, NY 12302 Phone: 518-374-1624 | |
Joan Petramale, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 |