| Mr Ryan Richard Mcdougle, MA, QMHP | |
|
35 S G St, Lakeview, OR 97630-1817 | |
| (541) 947-6021 | |
| (541) 219-8114 |
| Full Name | Mr Ryan Richard Mcdougle |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 35 S G St, Lakeview, Oregon |
| 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 |
|---|---|---|---|
| 1740781384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sokyahealth Medical Group Pc | 9739575648 | 57 |
| Entity Name | Sokyahealth Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220401000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Richard Mcdougle, MA, QMHP 35 S G St, Lakeview, OR 97630-1817 Ph: (541) 947-6021 | Mr Ryan Richard Mcdougle, MA, QMHP 35 S G St, Lakeview, OR 97630-1817 Ph: (541) 947-6021 |
Taylor Christine Johnston, QMHA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 S. G. St., Lakeview, OR 97630 Phone: 541-947-6021 | |
Amanda Leann Strain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N G St, Lakeview, OR 97630 Phone: 541-947-6021 Fax: 541-219-8114 | |
Diana Elizabeth Bucher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 S G St, Lakeview, OR 97630 Phone: 541-947-6021 | |
Wendy Jeannette Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N G St, Lakeview, OR 97630 Phone: 541-947-6021 | |
Ms. Jama Lynn Nelson, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N G St, Lakeview, OR 97630 Phone: 541-947-6021 Fax: 541-947-6020 | |
Ms. Tina Ann Corey, M.S.W., L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 S I St, Lakeview, OR 97630 Phone: 541-947-6021 | |
Kyrie Weaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 S G St, Lakeview, OR 97630 Phone: 541-947-6021 |