Derrick Lacasse, | |
79 Curtis Ave Apt 1, Quincy, MA 02169-7200 | |
(207) 713-6733 | |
Not Available |
Full Name | Derrick Lacasse |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 79 Curtis Ave Apt 1, Quincy, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427608223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Sb Transitional Sub Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
Mailing Address | Practice Location Address |
---|---|
Derrick Lacasse, 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 Ph: (207) 713-6733 | Derrick Lacasse, 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 Ph: (207) 713-6733 |
Karia Higginbottom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 617-847-1950 | |
Ethan Zachary Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 978-387-9023 | |
Steven James Gibbons, RECOVERY COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Quincy Ave Ste B, Quincy, MA 02169 Phone: 857-939-1363 | |
Mr. Tom F Chappuis Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 617-774-6036 | |
Victoria Spiker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1419 Hancock St Ste 202, Quincy, MA 02169 Phone: 617-770-9690 | |
Ms. Anke C Thorne, MS LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1 Billings Rd Ste 306, Quincy, MA 02171 Phone: 617-314-3495 Fax: 781-826-0012 | |
Daniel Robert Maltais, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Temple St, Quincy, MA 02169 Phone: 617-471-8400 |