Timothy Wayne Foreman, is a
Peer Specialist based in Tahlequah, Oklahoma. Timothy Wayne Foreman is licensed to practice in * (Not Available) (license number ) and his current practice location is
16414 W 760 Rd, Tahlequah, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 708-9009.
NPI number for Timothy Wayne Foreman is 1114613973 and his current mailing address is Po Box 73, Oaks, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114613973.
Healthcare Provider's Profile
| Full Name | Timothy Wayne Foreman |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 16414 W 760 Rd, Tahlequah, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114613973
- Provider Enumeration Date: 04/14/2023
- Last Update Date: 04/14/2023
Medical Identifiers
Medical identifiers for Timothy Wayne Foreman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114613973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Timothy Wayne Foreman 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 |
|---|
Timothy Wayne Foreman,
Po Box 73,
Oaks, OK 74359-0073
Ph: (918) 907-4142 | Timothy Wayne Foreman,
16414 W 760 Rd,
Tahlequah, OK 74464-1675
Ph: (918) 708-9009 |
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