Christine Pacheco, LCSW | |
105365 S Highway 102, Mcloud, OK 74851-3051 | |
(405) 964-2081 | |
Not Available |
Full Name | Christine Pacheco |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 105365 S Highway 102, Mcloud, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033631429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7144 (Oklahoma) | Primary |
Entity Name | South Central Medical And Resource Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366585564 PECOS PAC ID: 9032200084 Enrollment ID: O20070807000006 |
Mailing Address | Practice Location Address |
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Christine Pacheco, LCSW 1501 Eagle Dr, Edmond, OK 73034-6060 Ph: (405) 305-3024 | Christine Pacheco, LCSW 105365 S Highway 102, Mcloud, OK 74851-3051 Ph: (405) 964-2081 |
Gabriela Maria Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105365 S Highway 102, Mcloud, OK 74851 Phone: 405-964-2618 | |
Shyla Denean Neher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 915 S Arena Rd, Mcloud, OK 74851 Phone: 405-642-5223 | |
Chandra Lone Wolf, LMSW-P Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105365 S Highway 102, Mcloud, OK 74851 Phone: 405-964-2618 |