Mary Lingenfelter, | |
1545 Harbeck Rd, Grants Pass, OR 97527-5605 | |
(541) 476-2373 | |
Not Available |
Full Name | Mary Lingenfelter |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1545 Harbeck Rd, Grants Pass, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043556095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C3855 (Oregon) | Primary |
Entity Name | Options For Southern Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
Mailing Address | Practice Location Address |
---|---|
Mary Lingenfelter, 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Mary Lingenfelter, 1545 Harbeck Rd, Grants Pass, OR 97527-5605 Ph: (541) 476-2373 |
Desarae Margaret Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Ms. Lisa Jean Meredith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526 | |
Taylor Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-476-3302 | |
Tamra Blanchard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1349 Golden Park Dr Apt B, Grants Pass, OR 97527 Phone: 541-761-3989 Fax: 541-226-2356 | |
Samantha Tevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 | |
Seann Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Jorge Romero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 |