Mr Jim L Parker, is a
Peer Specialist based in Pawhuska, Oklahoma. Mr Jim L Parker is licensed to practice in Oklahoma (license number 365) and his current practice location is
473 Elks Lodge Rd, Pawhuska, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(539) 212-2499.
NPI number for Mr Jim L Parker is 1780845719 and his current mailing address is 473 Elks Lodge Rd, Pawhuska, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780845719.
Healthcare Provider's Profile
| Full Name | Mr Jim L Parker |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 473 Elks Lodge Rd, Pawhuska, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780845719
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 01/30/2026
Medical Identifiers
Medical identifiers for Mr Jim L Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780845719 | NPI | - | NPPES |
| 365 | Other | OK | CADC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | 365 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jim L Parker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Jim L Parker, 473 Elks Lodge Rd, Pawhuska, OK 74056-6542 Ph: (539) 212-2499 | Mr Jim L Parker, 473 Elks Lodge Rd, Pawhuska, OK 74056-6542 Ph: (539) 212-2499 |
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