Jeremy Lawrence, CMP

Individual provider Active NPI Case Manager/Care Coordinator · Oxford, AR

NPI 1154530004 · NPPES record last updated Feb 6, 2009

Key facts

NPI
1154530004
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
105 Hwy 9
Oxford, AR 72565-8861
Phone
(870) 258-3244
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Tree Communities Inc Past Accepting new patients
Birch Tree Communities, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

105 Hwy 9
Oxford, AR 72565-8861

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Oxford, AR

All providers in Oxford, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.