| Matthew Wilson, | |
|
4195 Hield Rd Nw, Palm Bay, FL 32907-6310 | |
| (407) 361-5788 | |
| Not Available |
| Full Name | Matthew Wilson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 4195 Hield Rd Nw, Palm Bay, 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 |
|---|---|---|---|
| 1356614150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Practitioners In Motion Pllc | 9335456755 | 9 |
| Entity Name | Practitioners in Motion PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447637582 PECOS PAC ID: 9335456755 Enrollment ID: O20150917001776 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Wilson, 4195 Hield Rd Nw, Palm Bay, FL 32907-6310 Ph: (407) 361-5788 | Matthew Wilson, 4195 Hield Rd Nw, Palm Bay, FL 32907-6310 Ph: (407) 361-5788 |
Cliff R Valentine, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Robert J Conlan Blvd Ne, Suite 200, Palm Bay, FL 32905 Phone: 321-723-8823 Fax: 321-723-9551 |
Shannon Patricia Green, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 490 Centre Lake Dr Ne, Suite 150, Palm Bay, FL 32907 Phone: 321-768-6420 Fax: 321-768-6324 |
Ms. Marjorie Elane Mitchell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 Deming Dr Se, Palm Bay, FL 32909 Phone: 321-419-6506 |
Nanette Sebrena Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1550 Orange Blossom Trl Ne, Palm Bay, FL 32905 Phone: 321-698-2366 |
Madison Chambers, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2123 Franklin Dr Ne, Palm Bay, FL 32905 Phone: 321-724-1614 Fax: 321-722-3590 |
Angela Marie Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Mayfair St Se, Palm Bay, FL 32909 Phone: 423-650-5269 |
Glenn Arnold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2198 Harris Ave Ne, Palm Bay, FL 32905 Phone: 321-951-9750 |