Andrew Popeo Nickerson, | |
933 E 2nd St Unit 6, South Boston, MA 02127-2490 | |
(860) 941-7413 | |
Not Available |
Full Name | Andrew Popeo Nickerson |
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Gender | Male |
Speciality | Psychologist - Cognitive & Behavioral |
Location | 933 E 2nd St Unit 6, 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 |
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1760132898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
Entity Name | Sb Transitional Sub Llc |
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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 |
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Andrew Popeo Nickerson, 933 E 2nd St Unit 6, South Boston, MA 02127-2490 Ph: () - | Andrew Popeo Nickerson, 933 E 2nd St Unit 6, South Boston, MA 02127-2490 Ph: (860) 941-7413 |
Dr. Judith Anne Larsen, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Dr. Ivonne Borrero, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 78 Bolton St., South Boston, MA 02127 Phone: 857-753-0223 | |
Dr. Aleksandra Plocha, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Baxter St Apt 4, South Boston, MA 02127 Phone: 610-291-2092 | |
Nicole Alessio, M.ED, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 O St, Apt 1, South Boston, MA 02127 Phone: 781-698-9914 |