| Matthew Sheridan, | |
|
12443 San Jose Blvd Ste 604, Jacksonville, FL 32223-8652 | |
| (904) 944-4625 | |
| Not Available |
| Full Name | Matthew Sheridan |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 12443 San Jose Blvd Ste 604, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1649973116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MH21863 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raul J Rodriguez Mdpa | 0042477564 | 19 |
| Entity Name | Raul J Rodriguez Mdpa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891067823 PECOS PAC ID: 0042477564 Enrollment ID: O20120210000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Sheridan, 2120 Herschel St Apt A, Jacksonville, FL 32204-3879 Ph: () - | Matthew Sheridan, 12443 San Jose Blvd Ste 604, Jacksonville, FL 32223-8652 Ph: (904) 944-4625 |
Mrs. Gloria Hanania, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300 | |
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060 | |
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833 | |
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172 | |
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664 | |
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594 | |
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017 |