Jill Maree Bashorun, LPC is a
Counselor - Professional based in Wellston, Oklahoma. Jill Maree Bashorun is licensed to practice in Oklahoma (license number 2206) and her current practice location is
800 Birch Street, Wellston, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 356-2533.
NPI number for Jill Maree Bashorun is 1023262771 and her current mailing address is Po Box 492, Wellston, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023262771.
Healthcare Provider's Profile
Full Name | Jill Maree Bashorun |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 800 Birch Street, Wellston, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023262771
- Provider Enumeration Date: 11/07/2008
- Last Update Date: 02/03/2009
Medical Identifiers
Medical identifiers for Jill Maree Bashorun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023262771 | NPI | - | NPPES |
736081919 | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2206 (Oklahoma) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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. Jill Maree Bashorun 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 |
Jill Maree Bashorun, LPC Po Box 492, Wellston, OK 74881-0492 Ph: (405) 650-7278 | Jill Maree Bashorun, LPC 800 Birch Street, Wellston, OK 74881 Ph: (405) 356-2533 |
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