Rose Mary Ponder, | |
4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | |
(405) 842-4911 | |
(405) 842-5807 |
Full Name | Rose Mary Ponder |
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Gender | Female |
Speciality | Social Worker |
Location | 4045 Nw 64th St Ste 520, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235788050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | 4970 (Oklahoma) | Primary |
Entity Name | Community Pathways Unlimited Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
Mailing Address | Practice Location Address |
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Rose Mary Ponder, 2019 N Woods St, Sherman, TX 75092-2753 Ph: (903) 819-5851 | Rose Mary Ponder, 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 Ph: (405) 842-4911 |
Nancy K. Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 Nw 64th St, Suite 520, Oklahoma City, OK 73116 Phone: 405-842-4911 Fax: 405-842-5807 | |
Mrs. Kateri Suzanna Bohanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 | |
Kathryn Knight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Nicole Denise Fleming, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Brianna Lamoso, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11220 N Rockwell Ave, Oklahoma City, OK 73162 Phone: 405-632-6688 | |
Mr. John Michael Cloud, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2617 General Pershing Blvd, Oklahoma City, OK 73107 Phone: 405-858-2770 | |
Sally Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5009 N Pennsylvania Ave Ste 116, Oklahoma City, OK 73112 Phone: 405-204-6746 Fax: 405-879-2388 |