Gracen Aileen Taylor, | |
611 S Country Club Rd, Muskogee, OK 74403-6222 | |
(918) 686-8100 | |
Not Available |
Full Name | Gracen Aileen Taylor |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 611 S Country Club Rd, Muskogee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679257869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | CF580 (Oklahoma) | Primary |
Provider Name | Empowerme Rehabilitation Oklahoma Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023514247 PECOS PAC ID: 5496088296 Enrollment ID: O20190611000701 |
Provider Name | Empowerme Wellness Kansas City Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366024077 PECOS PAC ID: 9830504836 Enrollment ID: O20210723000217 |
Mailing Address | Practice Location Address |
---|---|
Gracen Aileen Taylor, 1203 N Main St, Sand Springs, OK 74063-7714 Ph: (918) 851-5969 | Gracen Aileen Taylor, 611 S Country Club Rd, Muskogee, OK 74403-6222 Ph: (918) 686-8100 |
Tonya Bradford, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 928 N York St, Suite 20, Muskogee, OK 74403 Phone: 918-913-9109 Fax: 918-913-9112 | |
Mrs. Amanda Hanrahan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 202 W Broadway St, Muskogee, OK 74401 Phone: 918-684-3700 Fax: 918-684-3724 | |
Marissa Sierra, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway St, Muskogee, OK 74401 Phone: 918-681-7555 | |
Elizabeth Hope Whitaker, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 313 E Peak Blvd, Muskogee, OK 74403 Phone: 918-683-0273 | |
Cynthia Jo Henderson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway St, Muskogee, OK 74401 Phone: 918-681-7555 | |
Katherine Delmedico, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway St, Muskogee, OK 74401 Phone: 681-755-5244 | |
Megan Dunn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway St, Muskogee, OK 74401 Phone: 918-681-7555 Fax: 866-244-5192 |