| Michael F Fisher, MS, LADC/MH | |
|
27371 S 4410 Rd, Vinita, OK 74301-7953 | |
| (918) 256-4800 | |
| (918) 256-4588 |
| Full Name | Michael F Fisher |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 27371 S 4410 Rd, Vinita, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295908945 | NPI | - | NPPES |
| 100257840A | Medicaid | OK | |
| 244402801 | Other | OK | MEDICARE ID-TYPE UNSPECFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 176 (Oklahoma) | Primary |
| 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 |
|---|---|
| Michael F Fisher, MS, LADC/MH 27371 S 4410 Rd, Vinita, OK 74301-7953 Ph: (918) 256-4800 | Michael F Fisher, MS, LADC/MH 27371 S 4410 Rd, Vinita, OK 74301-7953 Ph: (918) 256-4800 |
Chrystal Brassfield, MS Counselor Medicare: Medicare Enrolled Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Anthony Goodell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Melanie K Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Dorsey Ramsey, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Betty F Showler, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22253 S 4370 Rd, Vinita, OK 74301 Phone: 918-244-6416 | |
Jonathan Brodrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Dr. Deborah M. Payton, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 442606 E. 250 Rd, Vinita, OK 74301 Phone: 918-256-3392 Fax: 918-256-6859 |