Mr Jason Wilcox, LCSW | |
3806 Tillicum Ln, Roseburg, OR 97471-2271 | |
(541) 900-8244 | |
Not Available |
Full Name | Mr Jason Wilcox |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3806 Tillicum Ln, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225280753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L13627 (Oregon) | Primary |
Entity Name | Rogue Psych Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460 |
Mailing Address | Practice Location Address |
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Mr Jason Wilcox, LCSW 3806 Tillicum Ln, Roseburg, OR 97471-2271 Ph: (541) 900-8244 | Mr Jason Wilcox, LCSW 3806 Tillicum Ln, Roseburg, OR 97471-2271 Ph: (541) 900-8244 |
Mrs. Janelle Elise Peterson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 Fax: 541-440-1356 | |
Mitchell John Chmelik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Lawrence David Elkins, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-464-4456 Fax: 541-440-3554 | |
Mr. Winslow Neel Azpeitia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Rosemary M Unterseher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3673 Fax: 541-440-3508 | |
Megan Gene Buckley, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 Se Rose St, Roseburg, OR 97470 Phone: 541-900-1506 Fax: 541-900-1507 | |
Celeste D Huffaker, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2225 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471 Phone: 541-900-4285 |