Mrs Allie Grantham, MHR, LPC, CADC in Tahlequah, OK

Mrs Allie Grantham, MHR, LPC, CADC is a medicare enrolled "Counselor" provider in Tahlequah, Oklahoma. Her current practice location is 529 N Oak Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 444-2126.

Mrs Allie Grantham is licensed to practice in Oklahoma (license number 6374) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447388178.

Contact Information

	Mrs Allie Grantham, MHR, LPC, CADC
	529 N Oak Ave, Tahlequah, OK 74464
	(918) 444-2126
	(918) 458-2300

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Allie Grantham
Gender	Female
Speciality	Counselor
Location	529 N Oak Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447388178
Provider Enumeration Date: 03/02/2007
Last Update Date: 10/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8527410612
Enrollment ID: I20240112003997

Medical Identifiers

Medical identifiers for Mrs Allie Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447388178	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101Y00000X	Counselor	6374 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Allie Grantham allows following entities to bill medicare on her behalf.

Entity Name	Northeastern Oklahoma Community Health Centers, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417

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. Mrs Allie Grantham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Allie Grantham, MHR, LPC, CADC 31824 E 720 Rd, Wagoner, OK 74467-7374 Ph: (918) 485-9661	Mrs Allie Grantham, MHR, LPC, CADC 529 N Oak Ave, Tahlequah, OK 74464 Ph: (918) 444-2126

Reviews and Comments

Counselor in Tahlequah, OK

Alicia Franke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1606 E Downing St, Tahlequah, OK 74464 Phone: 918-775-7787
Mr. Chad Alvin Harp, MS ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Talley St, Tahlequah, OK 74464 Phone: 918-728-1685
Melissa Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078
Matthew Dennis Wenske, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-708-9009 Fax: 918-708-1714
Sara Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078
Terrah Lynn Manes, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 Fax: 918-207-0558
Ms. Rhonda Carey, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W Shawnee St, Tahlequah, OK 74464 Phone: 918-207-7523

Mrs Allie Grantham, MHR, LPC, CADC - Medicare Counselor in Tahlequah, OK