Richard Anthony Matkowski, | |
3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | |
(314) 598-3992 | |
Not Available |
Full Name | Richard Anthony Matkowski |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3165 Mckelvey Rd Ste 200, Bridgeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871072207 | NPI | - | NPPES |
2017041166 | Other | MO | LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Richard Anthony Matkowski, 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 Ph: (314) 206-3700 | Richard Anthony Matkowski, 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 Ph: (314) 598-3992 |
Ericka Renee Cables, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11520 Saint Charles Rock Rd Ste 101, Bridgeton, MO 63044 Phone: 314-312-2551 Fax: 314-227-9331 | |
Mr. George Joeseph Knoechel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3956 Fax: 314-206-3992 | |
Nicole L Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044 Phone: 314-656-6153 | |
Stacy V Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12377 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7183 | |
Ms. Sarah Nicole Bauer, MA Counselor Medicare: Medicare Enrolled Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3929 Fax: 314-206-3992 | |
Mrs. Valerie J Bowman, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 | |
Azra Tiedt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 |