Caitlin Antoinette Entwistle, | |
411 Chandler St, Worcester, MA 01602-3339 | |
(508) 799-0688 | |
Not Available |
Full Name | Caitlin Antoinette Entwistle |
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Gender | Female |
Speciality | Counselor |
Location | 411 Chandler St, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255966586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | S23816632 (Massachusetts) | Primary |
Entity Name | Eliot Community Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679648182 PECOS PAC ID: 2062488000 Enrollment ID: O20040909001199 |
Mailing Address | Practice Location Address |
---|---|
Caitlin Antoinette Entwistle, 411 Chandler St, Worcester, MA 01602-3339 Ph: (508) 799-0688 | Caitlin Antoinette Entwistle, 411 Chandler St, Worcester, MA 01602-3339 Ph: (508) 799-0688 |
Mayra A Maldonado, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 508-770-0511 | |
Miss Kara Lynn Ford, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-753-2967 | |
Rosemary Robinson Milburn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Lincoln St, Worcester, MA 01605 Phone: 508-453-3013 Fax: 508-795-0224 | |
Carina Iati, M.S. Counselor Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1260 | |
Miss Andrene Latoya Scarlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-767-3038 | |
Efrain Vazquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345a Greenwood St, Worcester, MA 01607 Phone: 508-363-0200 | |
Robert Jarrard Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Plantation St, Worcester, MA 01604 Phone: 774-262-0426 |