| Mr James P Bresnahan Jr, LMFT LMHC LADAC1 CAD | |
|
105 Merrick St, Us, Worcester, MA 01609 | |
| (508) 797-6100 | |
| (508) 797-0693 |
| Full Name | Mr James P Bresnahan Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 105 Merrick 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 |
|---|---|---|---|
| 1215031802 | NPI | - | NPPES |
| 1306421 | Medicaid | MA | |
| 1308785 | Other | MA | MCD MH BCBS MH M18684 |
| 2220002001 | Other | MA | BCBS SA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4524 (Massachusetts) | Primary |
| Entity Name | James P Bresnahan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023289782 PECOS PAC ID: 5193167682 Enrollment ID: O20240529003836 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James P Bresnahan Jr, LMFT LMHC LADAC1 CAD 585 Lincoln St, Worcester, MA 01605 Ph: (508) 854-3320 | Mr James P Bresnahan Jr, LMFT LMHC LADAC1 CAD 105 Merrick St, Us, Worcester, MA 01609 Ph: (508) 797-6100 |
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 |