| Kaitlyn Elizabeth Mccormack, | |
|
54 Pearl St, Bridgewater, MA 02324-1627 | |
| (508) 245-5655 | |
| Not Available |
| Full Name | Kaitlyn Elizabeth Mccormack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 54 Pearl St, Bridgewater, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780195776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Sb Transitional Sub Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Elizabeth Mccormack, 54 Pearl St, Bridgewater, MA 02324-1627 Ph: () - | Kaitlyn Elizabeth Mccormack, 54 Pearl St, Bridgewater, MA 02324-1627 Ph: (508) 245-5655 |
Kylie Tirrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Main St, Bridgewater, MA 02324 Phone: 508-644-0933 | |
Shannon Dianne Pickett, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Central Sq, Bridgewater, MA 02324 Phone: 508-443-6555 Fax: 877-430-6711 | |
Mrs. Elizabeth Anne Letterio, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 488 West Center Street, 2, Bridgewater, MA 02379 Phone: 508-297-0015 | |
Lori Beth Hopgood, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 30 Administration Rd, Bridgewater, MA 02324 Phone: 508-279-8100 | |
Brianne Hope Depina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 785 Vernon St, Bridgewater, MA 02324 Phone: 339-832-9529 | |
Mr. Joseph Maxwell Knapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Atkinson Dr, Bridgewater, MA 02324 Phone: 302-668-4118 | |
Michaela Janet Louise Kane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Admin Rd, Bridgewater, MA 02324 Phone: 508-279-4500 |