Jacob Hasson, | |
543 North St, New Bedford, MA 02740-2782 | |
(508) 996-3154 | |
Not Available |
Full Name | Jacob Hasson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 543 North St, New Bedford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912350521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC11662 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
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Jacob Hasson, 229 Green St, Fairhaven, MA 02719-3123 Ph: (774) 488-8114 | Jacob Hasson, 543 North St, New Bedford, MA 02740-2782 Ph: (508) 996-3154 |
Ms. Kim Christine Spooner, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1397 Rockdale Ave, New Bedford, MA 02740 Phone: 774-328-8718 Fax: 774-202-2826 | |
Mrs. Aleta Mello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 589 S 1st St, New Bedford, MA 02740 Phone: 774-634-3909 | |
Mr. Thomas Joseph Haitsma, Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 North St, Child And Family Services, New Bedford, MA 02740 Phone: 508-984-5566 Fax: 508-994-5527 | |
Mrs. Erica Rose Mulcahey, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 965 Church St, New Bedford, MA 02745 Phone: 508-742-1675 | |
Shawn Paul Dias, BS, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 North St, New Bedford, MA 02740 Phone: 508-984-5566 | |
Mr. Paul Martin Mccabe, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Front St, New Bedford, MA 02740 Phone: 508-994-0885 Fax: 508-997-0765 | |
Ellen Lara, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30-32r Gifford St, New Bedford, MA 02744 Phone: 508-999-3126 Fax: 508-991-8579 |