| Maryalice Case, PMHNP | |
|
2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | |
| (405) 224-2100 | |
| Not Available |
| Full Name | Maryalice Case |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2100 W Iowa Ave Ste A, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982310611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 211715 (Oklahoma) | Primary |
| Entity Name | North Oklahoma County Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821120189 PECOS PAC ID: 6002701786 Enrollment ID: O20040220000470 |
| Entity Name | Grady Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164859260 PECOS PAC ID: 0648175778 Enrollment ID: O20150520000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryalice Case, PMHNP 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 | Maryalice Case, PMHNP 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 |
Alisa Tarasova, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 058-968-0584 Fax: 855-223-1999 | |
Taylor A Harrison, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1928 S 4th St, Chickasha, OK 73018 Phone: 405-224-6700 | |
Ms. Kaletha Lynell Hightower, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Texas Ave, Chickasha, OK 73018 Phone: 405-604-7995 | |
Kimberly Schat, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 W Chickasha Ave, Chickasha, OK 73018 Phone: 405-892-8423 | |
Jerrus Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2244 | |
Sara Buster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-816-8058 Fax: 855-223-1999 | |
Heather Michelle Rowell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-0053 |