| David Painter, | |
|
12005 E. 470 Road, Claremore, OK 74017 | |
| (918) 342-0770 | |
| (918) 342-0087 |
| Full Name | David Painter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12005 E. 470 Road, Claremore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912118332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC05226 (Oklahoma) | Primary |
| Entity Name | Senior Psychological Care Of Oklahoma, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740931609 PECOS PAC ID: 7214311448 Enrollment ID: O20220907001133 |
| Mailing Address | Practice Location Address |
|---|---|
| David Painter, 210 S. Mayes Street, Pryor, OK 74361 Ph: (918) 825-8499 | David Painter, 12005 E. 470 Road, Claremore, OK 74017 Ph: (918) 342-0770 |
Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929 | |
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087 | |
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 | |
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087 | |
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770 | |
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770 | |
Helen Provost, BSW/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-374-0770 Fax: 918-342-0087 |