Michele B Medina, MA | |
725 Washburn Way, Klamath Falls, OR 97603-3648 | |
(541) 273-1999 | |
Not Available |
Full Name | Michele B Medina |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 725 Washburn Way, Klamath Falls, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912334947 | NPI | - | NPPES |
223354 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Sky Lakes Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
Mailing Address | Practice Location Address |
---|---|
Michele B Medina, MA 725 Washburn Way, Klamath Falls, OR 97603-3648 Ph: (541) 273-1999 | Michele B Medina, MA 725 Washburn Way, Klamath Falls, OR 97603-3648 Ph: (541) 273-1999 |
Mrs. Brittania Nicole Welch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Misty Watts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Teresa L Stroup, BA,QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2545 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-3471 Fax: 541-883-3524 | |
Jeremy Russell Johnson, QMHP, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 | |
Gaylyn Gaddy Maurer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 Wild Plum Dr, Klamath Falls, OR 97601 Phone: 713-203-3744 | |
Kyra Giffen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Krystal Lynn Henderson, CCMA, CPHT, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 2555 Main St, Klamath Falls, OR 97601 Phone: 541-883-2795 Fax: 541-883-8194 |