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1223 Swan Dr Bartlesville OK 74006-5037 | |
| (918) 336-8500 | |
| (918) 336-8519 |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 1223 Swan Dr, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Carol A Davis (CREDENTIALING REP) |
| Authorized Official Contact | 9183368500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1223 Swan Dr Bartlesville OK 74006-5037 Ph: (918) 336-8500 | 1223 Swan Dr Bartlesville OK 74006-5037 Ph: (918) 336-8500 |
| NPI Number | 1134156482 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 9830129097 |
|---|---|
| Medicare Enrollment ID | O20050817000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134156482 | NPI | - | NPPES |
| 100683100A | Medicaid | OK | |
| 100683100B | Medicaid | OK | |
| 100683100C | Medicaid | OK |
| Provider Name | Marilou G Bork |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255418935 PECOS PAC ID: 7315977212 Enrollment ID: I20050819000861 |
| Provider Name | Joshua M Lindblom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588089965 PECOS PAC ID: 5698907822 Enrollment ID: I20140422001239 |
| Provider Name | Jessica Lauren Keith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659747525 PECOS PAC ID: 8426367186 Enrollment ID: I20151020000507 |
| Provider Name | Kelsey Ann Kliewer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699229732 PECOS PAC ID: 2163718644 Enrollment ID: I20160909000243 |
| Provider Name | Abigayl M H Petermann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992363063 PECOS PAC ID: 9234466244 Enrollment ID: I20190814002105 |
| Provider Name | Tracy Lynn Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861093379 PECOS PAC ID: 6901218106 Enrollment ID: I20201211001705 |
| Provider Name | Jim A Reeves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396967576 PECOS PAC ID: 1759784671 Enrollment ID: I20210903001974 |
| Provider Name | Susan L Clifton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376776450 PECOS PAC ID: 4981001922 Enrollment ID: I20210917002809 |
| Provider Name | Rachel Claris Leeann Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679149405 PECOS PAC ID: 8628466307 Enrollment ID: I20211029000493 |
| Provider Name | Baylor Jayne Reese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265126346 PECOS PAC ID: 0244771673 Enrollment ID: I20240925001089 |
Children's Therapeutic Strategies, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Camelot Dr, Bartlesville, OK 74006 Phone: 918-331-9050 Fax: 918-331-9059 | |
Nehemiah Community Development Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 S Cherokee Ave, Bartlesville, OK 74003 Phone: 918-876-4046 | |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Se Washington Blvd, Bartlesville, OK 74006 Phone: 918-337-8080 Fax: 918-337-8099 | |
Itr Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4017 Price Rd, Ste 2, Bartlesville, OK 74006 Phone: 918-200-9237 Fax: 678-390-9682 | |
Youth And Family Services Of Washington County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Se Washington Blvd, Bartlesville, OK 74006 Phone: 918-335-1111 Fax: 918-335-1119 | |
Legatski And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St., Bartlesville, OK 74003 Phone: 918-336-2400 Fax: 918-336-2401 |