| Jill Mckiernan, | |
| 
					585 Lincoln St, Worcester, MA 01605-1906  | |
| (508) 792-5400 | |
| (508) 831-0074 | 
| Full Name | Jill Mckiernan | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 585 Lincoln St, Worcester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184072431 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary | 
| 101YM0800X | Counselor - Mental Health | 10667 (Massachusetts) | Primary | 
| Entity Name | Spectrum Health Systems, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346430253 PECOS PAC ID: 8224017082 Enrollment ID: O20040715000611  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jill Mckiernan, 10 Mechanic St, Suite 302, Worcester, MA 01608-2420 Ph: (508) 792-5400  | Jill Mckiernan, 585 Lincoln St, Worcester, MA 01605-1906 Ph: (508) 792-5400  | 
Mayra A Maldonado, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 508-770-0511  | |
Miss Kara Lynn Ford, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-753-2967  | |
Rosemary Robinson Milburn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Lincoln St, Worcester, MA 01605 Phone: 508-453-3013 Fax: 508-795-0224  | |
Miss Andrene Latoya Scarlett,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-767-3038  | |
Efrain Vazquez,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 345a Greenwood St, Worcester, MA 01607 Phone: 508-363-0200  | |
Robert Jarrard Iii,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Plantation St, Worcester, MA 01604 Phone: 774-262-0426  | |
Molly Martone,  Counselor Medicare: Medicare Enrolled Practice Location: 135 Gold Star Blvd, Worcester, MA 01606 Phone: 508-579-6407  |