| Richard Anthony Matkowski, | |
|
3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | |
| (314) 598-3992 | |
| Not Available |
| Full Name | Richard Anthony Matkowski |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3165 Mckelvey Rd Ste 200, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871072207 | NPI | - | NPPES |
| 2017041166 | Other | MO | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Anthony Matkowski, 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 Ph: (314) 206-3700 | Richard Anthony Matkowski, 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 Ph: (314) 598-3992 |
Ericka Renee Cables, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11520 Saint Charles Rock Rd Ste 101, Bridgeton, MO 63044 Phone: 314-312-2551 Fax: 314-227-9331 | |
Mr. George Joeseph Knoechel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3956 Fax: 314-206-3992 | |
Stacy V Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12377 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7183 | |
Ms. Sarah Nicole Bauer, MA Counselor Medicare: Medicare Enrolled Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3929 Fax: 314-206-3992 | |
Mrs. Valerie J Bowman, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 | |
Azra Tiedt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 | |
Pierre Love, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 |