Marie D Raine, MD | |
1400 Hensley Dr, Tahlequah, OK 74464-5221 | |
(918) 822-0050 | |
(918) 775-5526 |
Full Name | Marie D Raine |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1400 Hensley Dr, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245219054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 10937A (Wyoming) | Primary |
Entity Name | State Of Wyoming |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439 |
Mailing Address | Practice Location Address |
---|---|
Marie D Raine, MD 1400 Hensley Dr, Tahlequah, OK 74464-5221 Ph: (918) 822-0050 | Marie D Raine, MD 1400 Hensley Dr, Tahlequah, OK 74464-5221 Ph: (918) 822-0050 |
Dr. Todd K Pogue, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1325 E Boone St, Tahlequah, OK 74464 Phone: 918-207-4977 | |
Vishal Balvantrai Jani, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641 | |
Dr. Harold M Ginzburg, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Dept Of Psychiatry, Tahlequah, OK 74464 Phone: 504-858-0066 Fax: 504-613-4913 | |
Heather Anne Jones, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 16414 W 760 Rd, Tahlequah, OK 74464 Phone: 918-561-8428 | |
Dr. Stephen R Burton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641 | |
Dr. Sana Syed, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-453-2111 |