| Andrew Jay Keough, LCSW | |
|
1502 Mary Kay Blvd, Benton, AR 72015-7201 | |
| (501) 315-3344 | |
| Not Available |
| Full Name | Andrew Jay Keough |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1502 Mary Kay Blvd, Benton, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851628481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4601-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Birch Tree Communities Inc | 5597749747 | 15 |
| Entity Name | Birch Tree Communities Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770733768 PECOS PAC ID: 5597749747 Enrollment ID: O20040615001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Jay Keough, LCSW Po Box 1589, Benton, AR 72018-1589 Ph: (501) 315-3344 | Andrew Jay Keough, LCSW 1502 Mary Kay Blvd, Benton, AR 72015-7201 Ph: (501) 315-3344 |
Sabrina Ann Roland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Edison, Benton, AR 72015 Phone: 501-425-6476 | |
Cynthia Webber, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 River St, Benton, AR 72015 Phone: 501-661-0720 | |
John D Matlock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-776-0411 | |
Mrs. Gwendolyn Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6721 Alcoa Rd, Benton, AR 72015 Phone: 501-257-6726 Fax: 501-257-6763 | |
Chad James Strike, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-778-0450 | |
April Berryman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Pearson, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-778-0450 | |
Mr. Jim Gregory, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-776-0411 |