| Katherine Federowicz Perez, | |
|
111 Edgartown Rd, Vineyard Haven, MA 02568-5699 | |
| (508) 693-7900 | |
| Not Available |
| Full Name | Katherine Federowicz Perez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 111 Edgartown Rd, Vineyard Haven, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780109702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 126365 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
| Entity Name | Martha's Vineyard Community Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659387074 PECOS PAC ID: 4385552496 Enrollment ID: O20041214000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Federowicz Perez, 111 Edgartown Rd, Vineyard Haven, MA 02568-5699 Ph: (508) 693-7900 | Katherine Federowicz Perez, 111 Edgartown Rd, Vineyard Haven, MA 02568-5699 Ph: (508) 693-7900 |
Abigail Leighton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Edgartown Rd, Vineyard Haven, MA 02568 Phone: 508-693-7900 Fax: 508-696-0401 | |
Kelly Merrill Mccarron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Edgartown Rd, Vineyard Haven, MA 02568 Phone: 508-693-7900 | |
Ms. Brenda Lee Leonard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Towanticut St, Vineyard Haven, MA 02568 Phone: 508-696-8762 Fax: 508-696-8762 | |
Cleo Winsryg-wild, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Edgartown Rd, Vineyard Haven, MA 02568 Phone: 508-693-7900 | |
Marlon German Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Edgartown Vineyard Haven Rd, Vineyard Haven, MA 02568 Phone: 508-693-7900 Fax: 508-696-0401 | |
Cecilia Brennan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Edgartown Rd, Vineyard Haven, MA 02568 Phone: 508-693-7900 | |
Susan Ann Bowen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Cook Rd, Vineyard Haven, MA 02568 Phone: 508-693-7900 |