| Oasis Tms | |
|
100 Mallard Creek Rd Ste 150 Louisville KY 40207-5138 | |
| (502) 742-8182 | |
| (502) 792-7292 |
| Full Name | Oasis Tms |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Mallard Creek Rd Ste 150, Louisville, Kentucky |
| Authorized Official Name and Position | Danielle Lutzke (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6515031741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Tms 100 Mallard Creek Rd Ste 150 Louisville KY 40207-5138 Ph: (502) 742-8182 | Oasis Tms 100 Mallard Creek Rd Ste 150 Louisville KY 40207-5138 Ph: (502) 742-8182 |
| NPI Number | 1538705280 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 8729409040 |
|---|---|
| Medicare Enrollment ID | O20200521003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538705280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sarah E Parsons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124041686 PECOS PAC ID: 9739286923 Enrollment ID: I20090723000048 |
| Provider Name | Justine S Chilelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144549585 PECOS PAC ID: 3971759598 Enrollment ID: I20240306003151 |
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