John Vang, | |
11312 N 147th East Pl, Owasso, OK 74055-7660 | |
(559) 289-2520 | |
Not Available |
Full Name | John Vang |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 11312 N 147th East Pl, Owasso, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376046391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8800 (Oklahoma) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
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John Vang, 11312 N 147th East Pl, Owasso, OK 74055-7660 Ph: (559) 289-2520 | John Vang, 11312 N 147th East Pl, Owasso, OK 74055-7660 Ph: (559) 289-2520 |
Cassandra Jackson-smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11505 N 132nd East Ave, Owasso, OK 74055 Phone: 918-313-3292 | |
Mrs. Bobbie Diane Lucas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N Ste 350, Owasso, OK 74055 Phone: 918-274-5510 Fax: 918-403-6312 | |
Mrs. Meredith Lawler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10917 N 92nd East Ave, Owasso, OK 74055 Phone: 918-607-9677 |