| Denise Kimball, | |
|
215 Sw 7th St, Redmond, OR 97756-2113 | |
| (541) 388-8459 | |
| (541) 388-8116 |
| Full Name | Denise Kimball |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 215 Sw 7th St, Redmond, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669084919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C8616 (Oregon) | Primary |
| Entity Name | Rimrock Trails Treatment Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194873406 PECOS PAC ID: 5799107629 Enrollment ID: O20200623002699 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Kimball, 1333 Nw 9th St, Prineville, OR 97754-1482 Ph: (541) 388-8459 | Denise Kimball, 215 Sw 7th St, Redmond, OR 97756-2113 Ph: (541) 388-8459 |
Marissa Inman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7500 | |
Emily Culbertson, CADC II, QMHA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Nw 5th St, Box 1710, Redmond, OR 97756 Phone: 540-516-4087 Fax: 541-504-1195 | |
Krysta Ivens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6396 Sw Mcvey Ave, Redmond, OR 97756 Phone: 971-217-6150 | |
Lacey Satterfield, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 4th St, Redmond, OR 97756 Phone: 541-316-7520 | |
James O'farrell, M.S., QMHP, LPC Counselor Medicare: Medicare Enrolled Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7187 Fax: 541-322-7467 | |
Roger Boling, MSW Counselor Medicare: Medicare Enrolled Practice Location: 7515 Falcon Crest Dr # 200, Redmond, OR 97756 Phone: 541-904-5216 | |
Miss Melissa Scaramuzzo, LPC, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1622 W Antler Ave Unit 4, Redmond, OR 97756 Phone: 541-321-0713 |