Misti Dawn Jackson-hise, is a
Case Manager/care Coordinator based in Poteau, Oklahoma. Misti Dawn Jackson-hise is licensed to practice in * (Not Available) (license number ) and her current practice location is
309 Rogers Ave, Poteau, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 658-8078.
NPI number for Misti Dawn Jackson-hise is 1770100604 and her current mailing address is Po Box 3, Talihina, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770100604.
Healthcare Provider's Profile
| Full Name | Misti Dawn Jackson-hise |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 309 Rogers Ave, Poteau, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770100604
- Provider Enumeration Date: 06/26/2020
- Last Update Date: 06/26/2020
Medical Identifiers
Medical identifiers for Misti Dawn Jackson-hise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770100604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (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. Misti Dawn Jackson-hise 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 |
|---|
Misti Dawn Jackson-hise,
Po Box 3,
Talihina, OK 74571-0003
Ph: (918) 413-1100 | Misti Dawn Jackson-hise,
309 Rogers Ave,
Poteau, OK 74953-4227
Ph: (918) 658-8078 |
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