Dr Erica Fenderson, is a
Case Manager/care Coordinator based in Broken Arrow, Oklahoma. Dr Erica Fenderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2548 E Kenosha St, Broken Arrow, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(903) 746-7703.
NPI number for Dr Erica Fenderson is 1316644883 and her current mailing address is 2548 E Kenosha St, Broken Arrow, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316644883.
Healthcare Provider's Profile
| Full Name | Dr Erica Fenderson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2548 E Kenosha St, Broken Arrow, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316644883
- Provider Enumeration Date: 02/14/2023
- Last Update Date: 02/14/2023
Medical Identifiers
Medical identifiers for Dr Erica Fenderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316644883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Erica Fenderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Erica Fenderson,
2548 E Kenosha St,
Broken Arrow, OK 74014-6712
Ph: () - | Dr Erica Fenderson,
2548 E Kenosha St,
Broken Arrow, OK 74014-6712
Ph: (903) 746-7703 |
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