| Mrs Kristina Alycia Freeborn, MA CCC-SLP | |
|
120 S Lester Lane, Purcell, OK 73080-5451 | |
| (405) 766-1238 | |
| (405) 310-0679 |
| Full Name | Mrs Kristina Alycia Freeborn |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 15 Years |
| Location | 120 S Lester Lane, Purcell, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871915462 | NPI | - | NPPES |
| 200954240A | Medicaid | OK |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeborn Dysphagia Associates Llc | 2769806306 | 2 |
| Provider Name | Freeborn Dysphagia Associates Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043854706 PECOS PAC ID: 2769806306 Enrollment ID: O20200715003515 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristina Alycia Freeborn, MA CCC-SLP 18550 144th St, Lexington, OK 73051-6803 Ph: (405) 609-4618 | Mrs Kristina Alycia Freeborn, MA CCC-SLP 120 S Lester Lane, Purcell, OK 73080-5451 Ph: (405) 766-1238 |
Ms. Megan Wackler, M.S. C.C.C. - S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 316 W Washington Street, Suite D, Purcell, OK 73080 Phone: 405-609-4618 | |
Freeborn Dysphagia Associates, Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 120 S Lester Lane, Purcell, OK 73080 Phone: 405-766-1238 Fax: 405-310-0679 | |
Autum Looney, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Washington St Ste D, Purcell, OK 73080 Phone: 405-609-4618 Fax: 405-310-0679 | |
Ms. Alesa Deon Mcphail, MS CCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 120 South Lester Ln, Purcell, OK 73080 Phone: 405-766-1238 Fax: 405-310-0679 | |
Amanda Lee-wray Turner, MS, CCC-SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 120 S Lester Lane, Purcell, OK 73080 Phone: 405-766-1238 Fax: 405-310-0679 |