| Alec Moreno, | |
|
908 S Lee St Ste A, Fort Gibson, OK 74434-8735 | |
| (918) 203-3789 | |
| (918) 203-3116 |
| Full Name | Alec Moreno |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 908 S Lee St Ste A, Fort Gibson, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568884666 | NPI | - | NPPES |
| 200540800B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Compass Counseling Services Pllc | 2264764794 | 4 |
| Entity Name | Compass Counseling Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346724747 PECOS PAC ID: 2264764794 Enrollment ID: O20191101000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Alec Moreno, 908 S Lee St Ste A, Fort Gibson, OK 74434-8735 Ph: (918) 203-3789 | Alec Moreno, 908 S Lee St Ste A, Fort Gibson, OK 74434-8735 Ph: (918) 203-3789 |
James Bywater, Counselor Medicare: Accepting Medicare Assignments Practice Location: 23118 Idlewild Ln, Fort Gibson, OK 74434 Phone: 918-816-1512 |
James Mark Seabolt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22279 N 4 Mile Rd, Fort Gibson, OK 74434 Phone: 918-348-0061 |
Mindy E Taylor-culver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 S Lee St Ste A, Fort Gibson, OK 74434 Phone: 918-203-3789 Fax: 918-203-3116 |
Angela Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Irene Ln, Fort Gibson, OK 74434 Phone: 539-832-5597 |