| Carisa Bishop, | |
|
5041 Pay It Forward Dr Apt 104, Casper, WY 82609-4496 | |
| (603) 726-1240 | |
| Not Available |
| Full Name | Carisa Bishop |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 5041 Pay It Forward Dr Apt 104, Casper, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083006654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Sb Transitional Sub Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
| Entity Name | Tmin Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225734262 PECOS PAC ID: 0840657862 Enrollment ID: O20230607001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Carisa Bishop, 6 Liberty Sq # 2314, Boston, MA 02109-5800 Ph: (617) 468-7811 | Carisa Bishop, 5041 Pay It Forward Dr Apt 104, Casper, WY 82609-4496 Ph: (603) 726-1240 |
Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Kelly Lisabeth Clanton, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Antler Dr, Casper, WY 82601 Phone: 661-333-4544 | |
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961 | |
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050 | |
Emily Kathrine Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5725 Highland Dr, Casper, WY 82609 Phone: 307-265-3977 | |
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 |