| Amy Malin, | |
|
8937 S Garnett Rd, Broken Arrow, OK 74012-6018 | |
| (918) 872-9777 | |
| (918) 872-9779 |
| Full Name | Amy Malin |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 8937 S Garnett Rd, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396024774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Jeffrey K Mcilroy Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053531830 PECOS PAC ID: 8527962216 Enrollment ID: O20031124000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Malin, 6301 E 41st St, Tulsa, OK 74135-6103 Ph: (918) 289-0550 | Amy Malin, 8937 S Garnett Rd, Broken Arrow, OK 74012-6018 Ph: (918) 872-9777 |
Ashtyn Carley Freeny, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 Phone: 918-940-7158 Fax: 918-512-2002 | |
Miss Ashley R Wale, MHR ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3112 S Nyssa Ave, Broken Arrow, OK 74012 Phone: 918-813-6684 | |
Ms. Edwyna Warrior Walker, BSED MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 N 7th St, Apt. 1214, Broken Arrow, OK 74012 Phone: 918-869-8200 | |
Katherine Silvey Bates, MCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-615-6620 | |
Robin Lynn Mayo, BA, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Natchez St, Broken Arrow, OK 74011 Phone: 918-260-7605 | |
Fady Srour, M.A, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19426 E 49th St S, Broken Arrow, OK 74014 Phone: 918-355-4253 | |
Lorena I Salas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19915 E 37th St S, Broken Arrow, OK 74014 Phone: 918-313-5304 |