Mr Timothy Matthew Nida, MHR | |
39995 Rnd. Mt Ln, Howe, OK 74940 | |
(918) 658-5026 | |
Not Available |
Full Name | Mr Timothy Matthew Nida |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 39995 Rnd. Mt Ln, Howe, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649599531 | NPI | - | NPPES |
100731330-A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 959 (Oklahoma) | Primary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Matthew Nida, MHR Po Box 13, Poteau, OK 74953-0013 Ph: (918) 658-5026 | Mr Timothy Matthew Nida, MHR 39995 Rnd. Mt Ln, Howe, OK 74940 Ph: (918) 658-5026 |
Kay Huddleston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 42325 Timber Ridge Rd, Howe, OK 74940 Phone: 918-658-5308 | |
Charles Wayne Holt, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Meadow Lane, Howe, OK 74940 Phone: 918-658-2189 | |
Janet Farmer-stanley, CM II Counselor Medicare: Not Enrolled in Medicare Practice Location: 21182 Meadow Lane, Howe, OK 74940 Phone: 918-658-2189 Fax: 918-658-2180 | |
Pam Feemster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21228 Meadowbrook Ln, Howe, OK 74940 Phone: 918-658-2189 Fax: 918-658-2180 | |
Valerie J Stark, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 25009 Us Highway 270, Howe, OK 74940 Phone: 918-658-4421 | |
Susan Powell, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 42012 Timber Ridge Rd, Howe, OK 74940 Phone: 918-653-3135 Fax: 918-647-2181 | |
Ms. Jerri Morine Prescott, Counselor Medicare: Medicare Enrolled Practice Location: 17505 Miller Ln, Howe, OK 74940 Phone: 918-647-7519 |