Lauren Paige Bradley, | |
111 S Treaty Rd, Miami, OK 74354-5327 | |
(918) 540-1511 | |
(918) 542-7374 |
Full Name | Lauren Paige Bradley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 111 S Treaty Rd, Miami, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669947453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8037 (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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Lauren Paige Bradley, 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (918) 540-1511 | Lauren Paige Bradley, 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (918) 540-1511 |
Mary Mauricella Hogan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7433 Fax: 918-540-7474 | |
Mr. Tracy D. Ellman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 C St Ne, Miami, OK 74354 Phone: 918-540-1563 Fax: 918-542-7778 | |
Mr. Sidney Joe Pilkinton, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 A St Se, Miami, OK 74354 Phone: 918-533-3301 Fax: 918-533-3301 | |
Teresa L Buffalo, LMSW U/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58150 E 66 Rd, Miami, OK 74354 Phone: 918-542-1786 | |
Kim A Wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
April Lemon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 130 A St Sw, Miami, OK 74354 Phone: 918-542-1836 |