Mr Thomas M Mccracken, | |
1807 3rd Ave E, Kalispell, MT 59901-5758 | |
(406) 607-4900 | |
Not Available |
Full Name | Mr Thomas M Mccracken |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1807 3rd Ave E, Kalispell, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700511094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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, 1807 3rd Ave E, Kalispell, MT 59901-5758 Ph: (406) 607-4900 |
Mary Jane Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Zimmerman Rd, Kalispell, MT 59901 Phone: 406-250-6375 | |
Keyawna Janice Larson, SWLC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 E Washington St Ste 3, Kalispell, MT 59901 Phone: 406-407-4513 | |
Tracy K Mayer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 | |
Aaron A. Boysen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 Windward Way, Kalispell, MT 59901 Phone: 406-752-6100 Fax: 406-755-3720 | |
Lisa Zug, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Windward Way, Kalispell, MT 59901 Phone: 406-257-1336 Fax: 406-257-1353 | |
Jennifer E Dickinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 S. Main Street, Kalispell, MT 59901 Phone: 406-260-2871 | |
Stephanie R Gordon, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 |