| Mr Charly Mathew, LCSW | |
|
15321 S Dixie Hwy, Suite 210, Miami, FL 33157-1814 | |
| (305) 259-0017 | |
| Not Available |
| Full Name | Mr Charly Mathew |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 15321 S Dixie Hwy, Miami, Florida |
| 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 |
|---|---|---|---|
| 1447470927 | NPI | - | NPPES |
| 767212800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7747 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 093684-01 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Medical Concierge Services Pllc | 0840614020 | 69 |
| Entity Name | Professional Medical Concierge Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841812310 PECOS PAC ID: 0840614020 Enrollment ID: O20200721002421 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charly Mathew, LCSW 15321 S Dixie Hwy, Suite 210, Miami, FL 33157-1814 Ph: (305) 259-0017 | Mr Charly Mathew, LCSW 15321 S Dixie Hwy, Suite 210, Miami, FL 33157-1814 Ph: (305) 259-0017 |
Ms. Lourdes O. Ferrer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9400 Sw 52 Terrace, Miami, FL 33165 Phone: 305-273-9526 Fax: 305-273-9526 | |
Martha A Descart, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1750 Ne 191st St Apt 329, Miami, FL 33179 Phone: 305-746-8002 | |
Alexia Burton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 66 W Flagler St Ste 900, Miami, FL 33130 Phone: 734-210-0289 | |
Maria Adelaida Isaza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Nw 16th St, Miami, FL 33125 Phone: 305-927-0430 | |
Maria Corina Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Nw 59th St, Miami, FL 33127 Phone: 786-548-8246 | |
Ms. Abbe Sussman, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1951 Nw 17th Ave, Miami, FL 33125 Phone: 305-774-9570 | |
Mr. Wayne Kadis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Nw 16th St, Social Work Service (122), Miami, FL 33125 Phone: 305-324-4455 Fax: 305-575-3380 |