Mr Jacob Austin Slagle, MSBS is a
Marriage & Family Therapist based in Lawton, Oklahoma. Mr Jacob Austin Slagle is licensed to practice in Oklahoma (license number ) and his current practice location is
5007 Sw Country Club Dr, Lawton, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 591-1912.
NPI number for Mr Jacob Austin Slagle is 1942574793 and his current mailing address is 5007 Sw Country Club Dr, Lawton, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942574793.
Healthcare Provider's Profile
Full Name | Mr Jacob Austin Slagle |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 5007 Sw Country Club Dr, Lawton, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942574793
- Provider Enumeration Date: 02/25/2012
- Last Update Date: 08/08/2024
Medical Identifiers
Medical identifiers for Mr Jacob Austin Slagle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942574793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TR0400X | Psychologist - Rehabilitation | (Oklahoma) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacob Austin Slagle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jacob Austin Slagle, MSBS 5007 Sw Country Club Dr, Lawton, OK 73505-6830 Ph: (580) 591-1912 | Mr Jacob Austin Slagle, MSBS 5007 Sw Country Club Dr, Lawton, OK 73505-6830 Ph: (580) 591-1912 |
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