| Christopher Passmore, LPC | |
|
12834 Old Us 169, Oologah, OK 74053-7405 | |
| (918) 695-2059 | |
| (918) 221-7975 |
| Full Name | Christopher Passmore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12834 Old Us 169, Oologah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144897125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11267 (Oklahoma) | Primary |
| Entity Name | Preferred Family Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376904086 PECOS PAC ID: 0244256246 Enrollment ID: O20151014000914 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Passmore, LPC 1439 E 55th Pl, Tulsa, OK 74105-6946 Ph: (918) 202-6161 | Christopher Passmore, LPC 12834 Old Us 169, Oologah, OK 74053-7405 Ph: (918) 695-2059 |
William R Hiddle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12834 Old Us 169, Oologah, OK 74053 Phone: 918-695-2059 Fax: 918-221-7975 | |
Sarah Nicole Hawthorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12834 S Old Highway 169, Oologah, OK 74053 Phone: 918-695-2059 | |
Mr. Shiloh Wayne Martin, M.ED. LPC Counselor Medicare: Medicare Enrolled Practice Location: 14674 S Highway 169, Oologah, OK 74053 Phone: 580-515-1167 | |
Wendy L Smith, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 12834 Old Hwy Us 169, Oologah, OK 74053 Phone: 918-695-2059 | |
Kelli Marie Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15210 S 4060 Rd Lot B, Oologah, OK 74053 Phone: 918-230-9580 | |
Jennifer L. Bristow Cain, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12834 S Old Highway 169, Oologah, OK 74053 Phone: 918-695-2059 |