Patricia Jean Demeroto, | |
76 Argyle Dr, Shirley, NY 11967-4302 | |
(520) 256-8705 | |
Not Available |
Full Name | Patricia Jean Demeroto |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 76 Argyle Dr, 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 |
---|---|---|---|
1295446888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20865 (Arizona) | Primary |
Entity Name | Community Bridges Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
Mailing Address | Practice Location Address |
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Patricia Jean Demeroto, 76 Argyle Dr, Shirley, NY 11967-4302 Ph: (520) 256-8705 | Patricia Jean Demeroto, 76 Argyle Dr, Shirley, NY 11967-4302 Ph: (520) 256-8705 |
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 |