| Jacob Mourtada, | |
|
340 Maple St, Marlborough, MA 01752-3200 | |
| (508) 485-9300 | |
| Not Available |
| Full Name | Jacob Mourtada |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 340 Maple St, Marlborough, 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 |
|---|---|---|---|
| 1184238198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Health Services Llc | 6901866706 | 470 |
| Entity Name | Northeast Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Mourtada, 5 Laurel Tree Dr, Foxboro, MA 02035-1747 Ph: (508) 641-2272 | Jacob Mourtada, 340 Maple St, Marlborough, MA 01752-3200 Ph: (508) 485-9300 |
Heather Antanavica, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Maple St, Marlborough, MA 01752 Phone: 508-485-9300 |
Luisanna Marie Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Maple St Ste 400, Marlborough, MA 01752 Phone: 508-485-9300 |
Jeremy Potter, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Maple St, 4th Floor, Marlborough, MA 01752 Phone: 508-485-9300 |
Carrie Ann Macleod, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Maple St, Marlborough, MA 01752 Phone: 508-485-9300 |
Helen Bugaev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Boston Post Rd W Ste 420, Marlborough, MA 01752 Phone: 508-824-3673 |
Carolyn Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 Main St Ste 308, Marlborough, MA 01752 Phone: 508-485-5300 Fax: 508-485-5353 |
Mrs. Barbara Marie Sachs, LMHC,LADC1 Counselor Medicare: Accepting Medicare Assignments Practice Location: 340 Maple St, Suite 400, Marlborough, MA 01752 Phone: 508-485-9300 Fax: 508-485-2106 |