Evangelos Nomikos, MED | |
210 Old Colony Ave, South Boston, MA 02127-2413 | |
(617) 268-5000 | |
(617) 268-5008 |
Full Name | Evangelos Nomikos |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 210 Old Colony Ave, South Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932642147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Lucky Day Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366101792 PECOS PAC ID: 8224470422 Enrollment ID: O20240520001881 |
Mailing Address | Practice Location Address |
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Evangelos Nomikos, MED 210 Old Colony Ave, South Boston, MA 02127-2413 Ph: (617) 268-5000 | Evangelos Nomikos, MED 210 Old Colony Ave, South Boston, MA 02127-2413 Ph: (617) 268-5000 |
Mark A Schroeder, LADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 Columbia Rd # A, South Boston, MA 02127 Phone: 617-534-9500 Fax: 617-534-9151 | |
Ms. Roberta Reich, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Courtney Elizabeth Hoban, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226a Columbia Rd, South Boston, MA 02127 Phone: 617-534-9500 Fax: 617-534-9515 | |
Joel B Hark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9500 | |
Elizabeth K Doherty, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Dorchester Ave, South Boston, MA 02127 Phone: 617-524-4620 | |
Katie Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Rev Burke Street #151, South Boston, MA 02127 Phone: 617-534-9500 | |
John Nestor, LADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-5000 Fax: 617-268-5008 |