Joshua Brackett, | |
251 Main St, Exeter, RI 02822-3531 | |
(401) 295-0960 | |
Not Available |
Full Name | Joshua Brackett |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 251 Main St, Exeter, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316535545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 010027 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | ISW03209 (Rhode Island) | Primary |
Entity Name | Supportive Care I Of Rhode Island Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912666454 PECOS PAC ID: 1951793546 Enrollment ID: O20220111000885 |
Mailing Address | Practice Location Address |
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Joshua Brackett, 251 Main St, Exeter, RI 02822-3531 Ph: () - | Joshua Brackett, 251 Main St, Exeter, RI 02822-3531 Ph: (401) 295-0960 |
Francisca Hebel Gofton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Summit Rd, Exeter, RI 02822 Phone: 401-484-4641 | |
Mrs. Stephanie B Moniz, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 189 Wolf Rock Rd, Exeter, RI 02822 Phone: 401-294-3056 | |
Robin Cahill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 365 Summit Rd., Exeter, RI 02822 Phone: 401-268-5203 Fax: 401-268-5322 |