| Mrs Tami Ranae Hernandez, MHR LPC | |
|
527 West Third St, Konawa, OK 74849 | |
| (580) 925-3286 | |
| (580) 925-2362 |
| Full Name | Mrs Tami Ranae Hernandez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 527 West Third St, Konawa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518152529 | NPI | - | NPPES |
| 3125 | Other | OK | OK STATE DEPT OF HLTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3125 (Oklahoma) | Primary |
| Entity Name | Absentee Shawnee Tribal Health Authority, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tami Ranae Hernandez, MHR LPC Po Box 358, 527 West Third St, Konawa, OK 74849 Ph: (580) 925-3286 | Mrs Tami Ranae Hernandez, MHR LPC 527 West Third St, Konawa, OK 74849 Ph: (580) 925-3286 |
Rozina Newby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
Mrs. Anja Lee Grissom, MED & LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
Gayla Beth Branscum, LMHP Counselor Medicare: Medicare Enrolled Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
Ms. Christy Dawnell Murray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
Erica Mccraw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
William Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
Patty Carson, BHRS I Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2012 |