Gary Vancil

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2202 N Broadway St
Poteau, OK 74953-2000

Phone

(918) 649-0018

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hope Counseling and Guidance Center LLCGroup PAC ID 6608272562, 6 clinicians

Millennium Medical Services, LLCGroup PAC ID 6204730856, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Medical Services, L.L.C.

  • Psychiatry Physician
  • Norman, OK
  • NPI 1245286285

  Clinical

  Medicare reassignment Care Compare group NPD
• New Hope Counseling and Guidance Center LLC

  • Counselor
  • Poteau, OK
  • NPI 1457991770
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1013506815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532000",
            "telephone_number": "918-649-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532000",
            "telephone_number": "918-649-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCIL",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Complete Healthcare Z15 LLC
• Trinity Therapy Services, L.L.C. (Trinity Rehab)
• Hannah E Tustin, PT
• Larry Carl Tustin, BA, CADC
• Melissa Twyman
• Erica Markay Vanhook, BA
• Sooner Marie Vanhook
• Candice L Vaughn, PHARMD
• Hal E Vineyard, D.D.S.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0031)

• Clinical Social Worker in Poteau, OK
• Providers in Poteau, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.