Mr Thomas M Mccracken, | |
7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | |
(406) 731-7158 | |
Not Available |
Full Name | Mr Thomas M Mccracken |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 7300 N Perimeter Rd, Malmstrom Afb, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700511094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | BBHSWLCLIC25588 (Montana) | Primary |
Entity Name | Flathead Community Health Center, Inc. Dba Greater Valley Health Cente |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306433511 PECOS PAC ID: 0446653422 Enrollment ID: O20210728002651 |
Mailing Address | Practice Location Address |
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Mr Thomas M Mccracken, Po Box 84, Somers, MT 59932-0084 Ph: (406) 564-7113 | Mr Thomas M Mccracken, 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-7158 |
Marisa Sue Ridley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3218 | |
Ms. Elaine Harris, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3689 | |
Crystal Noppenberg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-7494 | |
Jordan Kieliszewski, LISWS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 064-731-4494 | |
Mr. Anthony Christopher Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Bldg 2040, Malmstrom Afb, MT 59402 Phone: 406-731-3219 Fax: 406-731-3231 |