| Matthew Kelly, | |
|
335 W 1st St, Oswego, NY 13126-3689 | |
| (315) 343-3344 | |
| Not Available |
| Full Name | Matthew Kelly |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 335 W 1st St, Oswego, 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 |
|---|---|---|---|
| 1033588678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bright Path Center Inc | 3577537885 | 3 |
| Entity Name | Bright Path Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316046113 PECOS PAC ID: 3577537885 Enrollment ID: O20040823001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kelly, 335 W 1st St, Oswego, NY 13126-3689 Ph: () - | Matthew Kelly, 335 W 1st St, Oswego, NY 13126-3689 Ph: (315) 343-3344 |
Alyssa Jean Grove, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 W Cayuga St, Oswego, NY 13126 Phone: 315-342-9255 | |
Mrs. Dawn Renee Metott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 5th Ave, Oswego, NY 13126 Phone: 315-342-7532 Fax: 315-342-7554 | |
Hannah Alton, Counselor Medicare: Accepting Medicare Assignments Practice Location: 5 W Cayuga St, Oswego, NY 13126 Phone: 315-342-9255 | |
Brianna J Gillette, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 E 1st St, Oswego, NY 13126 Phone: 315-343-3344 | |
Mrs. Mary Beth D'amico, MS LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 West Cayuga St, Integrative Services Inc., Oswego, NY 13126 Phone: 315-342-9255 | |
Mrs. Melissa Baker, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 West 9th Street, Oswego, NY 13126 Phone: 315-532-3059 Fax: 315-866-3236 |