| Scott Chastain, MS | |
|
2033 Main St, Level 2, Athol, MA 01331-1846 | |
| (978) 249-9490 | |
| Not Available |
| Full Name | Scott Chastain |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2033 Main St, Athol, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164805214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11154 (Massachusetts) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Clinical & Support Options, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Chastain, MS 4 Old County Rd, New Salem, MA 01355-9611 Ph: (978) 334-0437 | Scott Chastain, MS 2033 Main St, Level 2, Athol, MA 01331-1846 Ph: (978) 249-9490 |
Ms. Christina Marie Roche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Justin Nelson, BACHELORS OF SCIENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Rosanna Selnekovic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Alexandra Mahan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2033 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Melissa Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Mrs. Cornelia Salone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 Fax: 978-249-9514 | |
Mr. Trevor Bray-bustos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2033 Main St Ste 2, Athol, MA 01331 Phone: 978-249-9490 |