Mrs Tabetha Nicole Mathiesen, MS CCC-SLP is a
Speech-language Pathologist based in Crescent, Oklahoma. Mrs Tabetha Nicole Mathiesen is licensed to practice in Oklahoma (license number 3775) and her current practice location is
205 E Cimarron Blvd, Crescent, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 795-7110.
NPI number for Mrs Tabetha Nicole Mathiesen is 1093065682 and her current mailing address is 205 E Cimarron Blvd, Crescent, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093065682.
Healthcare Provider's Profile
Full Name | Mrs Tabetha Nicole Mathiesen |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 205 E Cimarron Blvd, Crescent, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093065682
- Provider Enumeration Date: 09/11/2012
- Last Update Date: 07/11/2013
Medical Identifiers
Medical identifiers for Mrs Tabetha Nicole Mathiesen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093065682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 3775 (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. Mrs Tabetha Nicole Mathiesen 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 |
Mrs Tabetha Nicole Mathiesen, MS CCC-SLP 205 E Cimarron Blvd, Crescent, OK 73028-9296 Ph: (405) 795-7110 | Mrs Tabetha Nicole Mathiesen, MS CCC-SLP 205 E Cimarron Blvd, Crescent, OK 73028-9296 Ph: (405) 795-7110 |
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