| Joanne Matthew, APRN | |
|
7 Court Sq, Rutland, VT 05701-4030 | |
| (802) 775-4388 | |
| (802) 775-3307 |
| Full Name | Joanne Matthew |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
| Location | 7 Court Sq, Rutland, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922411420 | NPI | - | NPPES |
| 1030508 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | CPPNS00106 (Rhode Island) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0125692 (Vermont) | Primary |
| Entity Name | Rutland Mental Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164417283 PECOS PAC ID: 6709850324 Enrollment ID: O20040820000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Matthew, APRN 7 Court Sq, Rutland, VT 05701-4030 Ph: (802) 775-4388 | Joanne Matthew, APRN 7 Court Sq, Rutland, VT 05701-4030 Ph: (802) 775-4388 |
Nancy Anne Driscoll, MS APRN BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 111 Park Ave, Rutland, VT 05701 Phone: 802-775-9848 Fax: 802-775-5427 | |
Ms. Anne G Baylock, ADV PRACTICE RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1 Commons St, Rutland, VT 05701 Phone: 802-747-1857 Fax: 802-747-0129 |