Lacey Layne Bernheisel
Individual provider Active NPI Case Manager/Care Coordinator · Muskogee, OK
NPI 1306523980 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1306523980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 619 N Main St
Muskogee, OK 74401-4431 - Phone
- (918) 682-8407
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
619 N Main St
Muskogee, OK 74401-4431
Mailing address
619 N Main St
Muskogee, OK 74401-4431
Other providers in Muskogee, OK
- Joseph S Bennett
- Kelli Bennett
- Kate Bennish
- Kelley Benson
- Stephanie Beratto
- Berry E Winn MD PLLC
- David Ray Berry
- Christopher Nathaniel Beshears
- Better Sound Hearing Aid Service
- Devon Beurie
All providers in Muskogee, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.