Monica Pacheco, | |
429 N Union Ave, Shawnee, OK 74801-7019 | |
(405) 275-1844 | |
(405) 275-1124 |
Full Name | Monica Pacheco |
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Gender | Female |
Speciality | Counselor |
Location | 429 N Union Ave, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669024790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | South Central Medical And Resource Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366585564 PECOS PAC ID: 9032200084 Enrollment ID: O20070807000006 |
Mailing Address | Practice Location Address |
---|---|
Monica Pacheco, 1501 Eagle Dr, Edmond, OK 73034-6060 Ph: (405) 305-3031 | Monica Pacheco, 429 N Union Ave, Shawnee, OK 74801-7019 Ph: (405) 275-1844 |
Darian N Gates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100 | |
Stephanie A. Jennings, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 N Harrison St, Shawnee, OK 74804 Phone: 405-481-7187 Fax: 405-481-7219 | |
Jessica Loren Buchanan, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-878-1135 Fax: 405-878-1138 | |
Mrs. Georgia Earline Ramsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100 | |
Kristy Ann Morrell, LCSW-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Madeline Dr, Shawnee, OK 74801 Phone: 405-585-9653 | |
Christine Wahpekeche, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Butler Dr, Shawnee, OK 74804 Phone: 405-617-9669 | |
Lori Payne, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-424-7711 Fax: 405-425-0445 |