| Dr Peter Rausch, PHD | |
|
735 N. Foreman St., Vinita, OK 74301 | |
| (918) 289-5249 | |
| (918) 256-0397 |
| Full Name | Dr Peter Rausch |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 735 N. Foreman St., Vinita, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790196202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 987 (Oklahoma) | Primary |
| Entity Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Rausch, PHD P.o. Box 179, Vinita, OK 74301 Ph: (918) 289-6249 | Dr Peter Rausch, PHD 735 N. Foreman St., Vinita, OK 74301 Ph: (918) 289-5249 |
Dr. Curtis Todd Grundy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 North Industrial Rd, Vinita, OK 74301 Phone: 918-629-8664 Fax: 918-782-4301 | |
Autumn Slaughter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24800 S 4420 Rd, Vinita, OK 74301 Phone: 918-256-7841 | |
Jacob Brewer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 | |
Dr. Elizabeth Mollette Grundy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 North Industrial Road, Vinita, OK 74301 Phone: 918-629-8664 Fax: 918-782-4301 | |
Alicia Ann Irvin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 442104 E. 250 Rd, Vinita, OK 74301 Phone: 918-256-7841 |