| Connie J Cameron, | |
|
116 W 7th Ave Ste 222, Stillwater, OK 74074-4050 | |
| (918) 225-0540 | |
| (918) 225-0536 |
| Full Name | Connie J Cameron |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 116 W 7th Ave Ste 222, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295003275 | NPI | - | NPPES |
| 100746170 G | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | 2020028322 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 5496 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Of Michigan Pc | 9830562776 | 90 |
| Entity Name | Brightside Medical of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230911000972 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie J Cameron, 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 246-1210 | Connie J Cameron, 116 W 7th Ave Ste 222, Stillwater, OK 74074-4050 Ph: (918) 225-0540 |
Kaylie Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Duck St, Stillwater, OK 74074 Phone: 405-372-7791 |
Mrs. Gina Clark, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 800 E 6th Ave Ste B, Stillwater, OK 74074 Phone: 405-372-1250 |
Mrs. Whitney Warren Alexander, LMFT, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Lewis St, Stillwater, OK 74074 Phone: 405-742-0699 |
Ms. Courtney Cavett, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3018 Frye Farms St, Stillwater, OK 74074 Phone: 580-572-1252 |
Valerie Ann Sommers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2322 W 7th Ave, Stillwater, OK 74074 Phone: 405-707-9722 |
Ms. Leslie Erin Shuck, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 W 7th Pl, Stillwater, OK 74074 Phone: 405-707-9722 |
Shawna Donise Moore, PSYD, LPC, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 S Main St, Stillwater, OK 74074 Phone: 405-824-3408 Fax: 405-564-0062 |