Mrs Maci Wageman, CSWA | |
1545 Harbeck Rd, Grants Pass, OR 97527-5605 | |
(541) 476-2373 | |
Not Available |
Full Name | Mrs Maci Wageman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1545 Harbeck Rd, Grants Pass, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801347612 | NPI | - | NPPES |
7565A | Other | OUTPATIENT MENTAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L10399 (Oregon) | Primary |
Entity Name | Options For Southern Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
Mailing Address | Practice Location Address |
---|---|
Mrs Maci Wageman, CSWA 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Mrs Maci Wageman, CSWA 1545 Harbeck Rd, Grants Pass, OR 97527-5605 Ph: (541) 476-2373 |
Mr. Scott E. Willi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 Fax: 541-476-1526 | |
Stephen Raleigh I, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1181 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 | |
Suellen Mitzner Willi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2576 New Hope Rd, Grants Pass, OR 97527 Phone: 541-479-1544 | |
Mr. Robert Lewis Morse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 Fax: 541-476-1526 | |
Jason Matthew Brown, B.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-5463 | |
Elizabeth Anne Mabry, CSWI Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 | |
Pamela Mccorkle, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 217 Ne C St, Grants Pass, OR 97526 Phone: 541-630-0079 |