Mr Richard Young Modenbach, LCSW | |
744 W 9th St, 8th Floor, Tulsa, OK 74127-9020 | |
(918) 599-5730 | |
(918) 599-5859 |
Full Name | Mr Richard Young Modenbach |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 52 Years |
Location | 744 W 9th St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053643429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1891 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tristesse Healing Hearts Grief | 3577824754 | 4 |
Entity Name | Tristesse Healing Hearts Grief |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754314 PECOS PAC ID: 3577824754 Enrollment ID: O20180305000227 |
Mailing Address | Practice Location Address |
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Mr Richard Young Modenbach, LCSW 744 W 9th St, 8th Floor, Tulsa, OK 74127-9020 Ph: (918) 599-5730 | Mr Richard Young Modenbach, LCSW 744 W 9th St, 8th Floor, Tulsa, OK 74127-9020 Ph: (918) 599-5730 |
Ms. Charlotte L Cribbs, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 S Peoria Ave, Tulsa, OK 74120 Phone: 918-587-9471 Fax: 918-560-1399 | |
Ms. Joella Mohrland Anglin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1538 N Lewis Ave, Tulsa, OK 74110 Phone: 918-400-7001 Fax: 539-202-5070 | |
Julie Ann Kinzie, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 204, Tulsa, OK 74104 Phone: 918-403-7200 Fax: 918-293-3110 | |
Ms. Lindsey Brook Vandeventer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11740 E 21st St, Tulsa, OK 74129 Phone: 918-437-9495 | |
Teresa Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 S Fulton Ave Ste 107, Tulsa, OK 74135 Phone: 918-712-8800 | |
Jessica Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Joi-michelle Rhodes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1728 S Carson Ave, Tulsa, OK 74119 Phone: 918-936-6127 |