| Mr Michael L Kehoe, MSW | |
|
11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 | |
| (315) 772-4025 | |
| (315) 772-9498 |
| Full Name | Mr Michael L Kehoe |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| 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 |
|---|---|---|---|
| 1992787709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P042814 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| River Hospital Clinics | Alexandria bay, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Hospital Inc | 2567372899 | 26 |
| Entity Name | River Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003814641 PECOS PAC ID: 2567372899 Enrollment ID: O20040614001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael L Kehoe, MSW 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 Ph: (315) 772-4025 | Mr Michael L Kehoe, MSW 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 Ph: (315) 772-4025 |
Ms. Mary Angela Macculloch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-7624 | |
Madison German, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Brittney Welborn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1st Street West, P36, Fort Drum, NY 13602 Phone: 315-772-2873 | |
Mr. John W Cadin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddaccredentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Carolyn Jukic, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-0977 | |
Jean Reynolds Truitt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Vanessa Mori-barr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-9807 |