| Holly Caddell, | |
|
1323 W Keetoowah St, Tahlequah, OK 74464-3462 | |
| (918) 708-3006 | |
| Not Available |
| Full Name | Holly Caddell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1323 W Keetoowah St, Tahlequah, 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 |
|---|---|---|---|
| 1548759327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Caddell, 1323 W Keetoowah St, Tahlequah, OK 74464-3462 Ph: () - | Holly Caddell, 1323 W Keetoowah St, Tahlequah, OK 74464-3462 Ph: (918) 708-3006 |
Alicia Franke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1606 E Downing St, Tahlequah, OK 74464 Phone: 918-775-7787 | |
Mr. Chad Alvin Harp, MS ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Talley St, Tahlequah, OK 74464 Phone: 918-728-1685 | |
Melissa Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 | |
Matthew Dennis Wenske, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-708-9009 Fax: 918-708-1714 | |
Bryan R Hooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18483 Hilltop Cir, Tahlequah, OK 74464 Phone: 572-247-8015 | |
Sara Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 | |
Terrah Lynn Manes, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 Fax: 918-207-0558 |