| Jesse Craighead, | |
|
747 Highway 59 # 4, Westville, OK 74965-1508 | |
| (918) 723-3757 | |
| Not Available |
| Full Name | Jesse Craighead |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 747 Highway 59 # 4, Westville, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558722652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 200534020A (Oklahoma) | 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 |
|---|---|
| Jesse Craighead, 747 Highway 59 # 4, Westville, OK 74965-1508 Ph: () - | Jesse Craighead, 747 Highway 59 # 4, Westville, OK 74965-1508 Ph: (918) 723-3757 |
Amy Rusk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Hwy 59 #4, Westville, OK 74965 Phone: 918-723-3735 Fax: 918-723-3730 | |
Jennie Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Highway 59 Ste 4, Westville, OK 74965 Phone: 479-220-9857 | |
Charles Cornelius Pastoor, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Highway 59, Westville, OK 74965 Phone: 918-723-3735 |