| Psychiatric And Addiction Centered Medicine Llc | |
|
109 E Main St Unit D Stigler OK 74462-2704 | |
| (918) 438-5477 | |
| Not Available |
| Full Name | Psychiatric And Addiction Centered Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 E Main St Unit D, Stigler, Oklahoma |
| Authorized Official Name and Position | Kimberly Smith (CREDENTIALING CONTACT) |
| Authorized Official Contact | 4058126562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric And Addiction Centered Medicine Llc 109 E Main St Unit D Stigler OK 74462-2704 Ph: (918) 438-5477 | Psychiatric And Addiction Centered Medicine Llc 109 E Main St Unit D Stigler OK 74462-2704 Ph: (918) 438-5477 |
| NPI Number | 1407627029 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 03/12/2024 |
| Medicare PECOS PAC ID | 2567805583 |
|---|---|
| Medicare Enrollment ID | O20240207000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407627029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Codie Vassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690995 PECOS PAC ID: 5496009565 Enrollment ID: I20240321002196 |
Green Country Hospitalists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Nw 5th St, Stigler, OK 74462 Phone: 918-967-0072 Fax: 918-967-5040 | |
Hrh Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Nw H St, Stigler, OK 74462 Phone: 918-489-5757 Fax: 918-489-5411 | |
Hrh Medical Group, Main Street Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 W Main St, Stigler, OK 74462 Phone: 918-967-2130 Fax: 918-967-2461 | |
Hrh Medical Group, Stigler Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Nw H St, Stigler, OK 74462 Phone: 918-967-0055 Fax: 918-967-2808 | |
Choctaw Nation Health Clinic-stigler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 E Main St, Stigler, OK 74462 Phone: 918-567-7000 Fax: 918-567-7041 | |
Haskell Regional Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Nw H St, Stigler, OK 74462 Phone: 888-339-7339 | |
Hrh Medical Group, Haskell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Nw H St, Stigler, OK 74462 Phone: 918-618-0812 Fax: 918-618-1038 |