| Kaelyna Rose Haskins, | |
|
76 Ne 12th St, Madras, OR 97741-1827 | |
| (541) 475-3874 | |
| Not Available |
| Full Name | Kaelyna Rose Haskins |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 76 Ne 12th St, Madras, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740774694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Entity Name | Madras Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768533 PECOS PAC ID: 5597758102 Enrollment ID: O20040407001171 |
| Entity Name | La Pine Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639316193 PECOS PAC ID: 8224187018 Enrollment ID: O20090611000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaelyna Rose Haskins, 76 Ne 12th St, Madras, OR 97741-1827 Ph: (541) 475-3874 | Kaelyna Rose Haskins, 76 Ne 12th St, Madras, OR 97741-1827 Ph: (541) 475-3874 |
Loretta Arthur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Sw C St, Madras, OR 97741 Phone: 541-475-6575 Fax: 541-504-1195 | |
Gabrielle M Meese, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Sw C St, Madras, OR 97741 Phone: 541-306-4566 Fax: 541-320-9005 | |
Michelle Camburn, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Sw 4th St, Madras, OR 97741 Phone: 541-475-6575 Fax: 541-504-1195 | |
Kathy J Hurley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Sw C St, Madras, OR 97741 Phone: 541-475-6575 | |
Linda Mccoy, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Sw 4th St, Madras, OR 97741 Phone: 541-475-6575 Fax: 541-504-1195 | |
Rpse Sarkkinen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Sw 4th St, Madras, OR 97741 Phone: 541-475-6575 Fax: 541-504-1195 | |
Bradley Mallinger, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Sw 4th St, Madras, OR 97741 Phone: 541-475-6575 |