P & Q Mental Health Clinic, Llc | |
46 Ravine Dr Matawan NJ 07747-2965 | |
(917) 753-4575 | |
(732) 970-4956 |
Full Name | P & Q Mental Health Clinic, Llc |
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Speciality | Nurse Practitioner |
Location | 46 Ravine Dr, Matawan, New Jersey |
Authorized Official Name and Position | Oksana Libelt (PSYCHIATRICS NURSE PRACTITIONER) |
Authorized Official Contact | 9177534575 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
P & Q Mental Health Clinic, Llc 46 Ravine Dr Matawan NJ 07747-2965 Ph: (917) 753-4575 | P & Q Mental Health Clinic, Llc 46 Ravine Dr Matawan NJ 07747-2965 Ph: (917) 753-4575 |
NPI Number | 1437871654 |
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Provider Enumeration Date | 09/14/2022 |
Last Update Date | 01/19/2023 |
Medicare PECOS PAC ID | 8527437896 |
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Medicare Enrollment ID | O20221208000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437871654 | NPI | - | NPPES |
1922564566 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Oksana A Libelt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922564566 PECOS PAC ID: 8527396944 Enrollment ID: I20190823000172 |
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