| Dr Edward Justin Modestino, PHD | |
|
8 Meadowbrook Ln, South Easton, MA 02375-1289 | |
| (508) 258-9703 | |
| Not Available |
| Full Name | Dr Edward Justin Modestino |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 8 Meadowbrook Ln, South Easton, Massachusetts |
| 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 |
|---|---|---|---|
| 1467064972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC10002001 (Massachusetts) | Primary |
| 101YM0800X | Counselor - Mental Health | MHC01717 (Rhode Island) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stoughton Counseling Inc | 4981937745 | 3 |
| Entity Name | Stoughton Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912464603 PECOS PAC ID: 4981937745 Enrollment ID: O20190610002293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Justin Modestino, PHD 8 Meadowbrook Ln, South Easton, MA 02375-1289 Ph: (781) 975-2185 | Dr Edward Justin Modestino, PHD 8 Meadowbrook Ln, South Easton, MA 02375-1289 Ph: (508) 258-9703 |
Mr. John P. Oneill, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Black Brook Rd, South Easton, MA 02375 Phone: 508-238-7485 | |
Patricia Margaret Venzen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Lynda Rd, South Easton, MA 02375 Phone: 781-690-1405 | |
Ms. Katherine M Simmons, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Eastman St, South Easton, MA 02375 Phone: 508-238-5766 Fax: 508-238-8045 | |
Teresia Maina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Eastman St # 102, South Easton, MA 02375 Phone: 508-202-1811 | |
Kexin Li, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Eastman St Ste 102, South Easton, MA 02375 Phone: 508-202-1811 | |
Katherine Connors, Counselor Medicare: Not Enrolled in Medicare Practice Location: 63 Turnpike St, South Easton, MA 02375 Phone: 781-775-6076 | |
Mr. Dean Albert Blackburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Kevins Way, South Easton, MA 02375 Phone: 508-930-6671 |