Christine Marie Brungardt, | |
2001 Powderhorn, Edmond, OK 73034-6802 | |
(405) 323-3124 | |
Not Available |
Full Name | Christine Marie Brungardt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2001 Powderhorn, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063006575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1584002 (Oklahoma) | Primary |
Entity Name | Morton Comprehensive Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275528085 PECOS PAC ID: 1951297621 Enrollment ID: O20040227000659 |
Mailing Address | Practice Location Address |
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Christine Marie Brungardt, 2001 Powderhorn, Edmond, OK 73034-6802 Ph: (405) 323-3124 | Christine Marie Brungardt, 2001 Powderhorn, Edmond, OK 73034-6802 Ph: (405) 323-3124 |
Mr. Dan J Archer, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 E Memorial Rd Ste 102, Edmond, OK 73013 Phone: 405-760-0242 | |
Anthony Adigwe, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Old Bugle Rd, Edmond, OK 73003 Phone: 405-340-5952 Fax: 405-302-2523 | |
Ms. Tiffany Joann Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Nw 138th St, Edmond, OK 73013 Phone: 405-819-9599 | |
Dr. Tonica Wicker, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5018 Pheasant Crest Rd, Edmond, OK 73034 Phone: 808-292-4919 | |
Starita Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 W 15th St Apt 39, Edmond, OK 73013 Phone: 405-889-5782 | |
Mrs. Angela Schenck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Martina Ln, Edmond, OK 73034 Phone: 405-642-7502 | |
Lisa Grossenbacher, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1603 E 19th St Ste 105, Edmond, OK 73013 Phone: 405-568-1950 |