David Benner
Individual provider Active NPI Case Manager/Care Coordinator · Lawton, OK
NPI 1669972543 · NPPES record last updated Feb 16, 2018
Key facts
- NPI
- 1669972543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 602 SW 38TH St
Lawton, OK 73505-6912 - Phone
- (580) 248-5780
- NPI assigned
- Feb 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- State of Oklahoma
Practice addresses (Care Compare)
602 SW
38TH Jim Taliaferro CMHC
Lawton, OK 73505-6912
Phone (580) 248-5780
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311003704 | OK | Practitioner - Mental Health Counselor | 3173969227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current |
Accepting new patients | |
| State of Oklahoma | Current |
Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients |
Locations
602 SW 38th St
Lawton, OK 73505
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OK | Yes |
Addresses
Primary practice location
602 SW 38TH St
Lawton, OK 73505-6912
Mailing address
602 SW 38TH St
Lawton, OK 73505-6912
Other providers in Lawton, OK
- Katrina Bell
- Lillian L Bell
- Kaylee Christinie Belle
- Rosemary Bellino Hall
- Elizabeth Bellofatto
- Caroline Dawn Bennett
- Candace Benson
- Christopher C. Benson
- Emma Rose Bergmann
- Mercedez Bernard
All providers in Lawton, 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 Feb 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.