| Oasis Behavioral Health | |
|
1111 Circle Dr Monroe NC 28112-5834 | |
| (704) 764-1818 | |
| (704) 285-2222 |
| Full Name | Oasis Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1111 Circle Dr, Monroe, North Carolina |
| Authorized Official Name and Position | Lisbeth Ivelisse Leger De Betancourt (OFFICE MANAGER) |
| Authorized Official Contact | 7047641818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Behavioral Health 1111 Circle Dr Monroe NC 28112-5834 Ph: (704) 764-1818 | Oasis Behavioral Health 1111 Circle Dr Monroe NC 28112-5834 Ph: (704) 764-1818 |
| NPI Number | 1700385507 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 6608287909 |
|---|---|
| Medicare Enrollment ID | O20201117002217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700385507 | NPI | - | NPPES |
| 1700385507 | Other | NC | NPI |
| Provider Name | Teresa Y Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508193780 PECOS PAC ID: 7214072859 Enrollment ID: I20100306000152 |
| Provider Name | Luis Emilio Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891076022 PECOS PAC ID: 6305067240 Enrollment ID: I20141018000028 |
| Provider Name | Aris A Azar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487062543 PECOS PAC ID: 4688925415 Enrollment ID: I20180918003082 |
| Provider Name | Marina Cawthra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326673450 PECOS PAC ID: 1153740964 Enrollment ID: I20200929000386 |
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