James Bywater, | |
23118 Idlewild Ln, Fort Gibson, OK 74434-6030 | |
(918) 816-1512 | |
Not Available |
Full Name | James Bywater |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 23118 Idlewild Ln, Fort Gibson, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316208275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
James Bywater, Po Box 608, Fort Gibson, OK 74434-0608 Ph: () - | James Bywater, 23118 Idlewild Ln, Fort Gibson, OK 74434-6030 Ph: (918) 816-1512 |
James Mark Seabolt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22279 N 4 Mile Rd, Fort Gibson, OK 74434 Phone: 918-348-0061 | |
Angela Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Irene Ln, Fort Gibson, OK 74434 Phone: 539-832-5597 | |
Alec Moreno, Counselor Medicare: Accepting Medicare Assignments Practice Location: 908 S Lee St Ste A, Fort Gibson, OK 74434 Phone: 918-203-3789 Fax: 918-203-3116 |