Mrs Kim Stanford, in Stilwell, OK - Medicare Counselor Provider

Mrs Kim Stanford, is a medicare enrolled "Counselor" provider in Stilwell, Oklahoma. Her current practice location is 716 S 2nd St # 1014, Stilwell, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (919) 696-6212.

Mrs Kim Stanford is licensed to practice in Oklahoma (license number 06968) 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 1194170134.

Contact Information

	Mrs Kim Stanford,
	716 S 2nd St # 1014, Stilwell, OK 74960-4806
	(919) 696-6212
	(918) 696-6213

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kim Stanford
Gender	Female
Speciality	Counselor
Location	716 S 2nd St # 1014, Stilwell, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194170134
Provider Enumeration Date: 04/27/2016
Last Update Date: 10/03/2025

Medicare PECOS Information:

PECOS PAC ID: 1557801453
Enrollment ID: I20240905004752

Medical Identifiers

Medical identifiers for Mrs Kim Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194170134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	06968 (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 Kim Stanford allows following entities to bill medicare on her behalf.

Entity Name	Creoks Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841311289 PECOS PAC ID: 0749591469 Enrollment ID: O20161101000781

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 Kim Stanford 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 Kim Stanford, 162 Alyene Dr, Stilwell, OK 74960-3230 Ph: (918) 575-2695	Mrs Kim Stanford, 716 S 2nd St # 1014, Stilwell, OK 74960-4806 Ph: (919) 696-6212

Reviews and Comments

Counselor in Stilwell, OK

Ruth Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 W Maple St, Stilwell, OK 74960 Phone: 918-696-5536
Mrs. Carla Sue Worley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 2, Stilwell, OK 74960 Phone: 918-575-0687
Crystal Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: Rt 1 Box 1145, Stilwell, OK 74960 Phone: 479-719-6567
Ms. Julie Barnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 S 2nd St, Suite 101, Stilwell, OK 74960 Phone: 918-696-6212 Fax: 918-696-6213
Mr. Chris Lynn Morton, Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 6 Box 1095, Stilwell, OK 74960 Phone: 918-696-3793
Cassie Latimer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 S 2nd St Ste 101, Stilwell, OK 74960 Phone: 918-696-6212 Fax: 918-696-6213
Ms. Marsha Clinton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 S 2nd St, Suite 101, Stilwell, OK 74960 Phone: 918-696-6212 Fax: 918-696-6213

Mrs Kim Stanford, - Medicare Counselor in Stilwell, OK