Sierra Summer Cicero, SUPPORT STAFF

Individual provider Active NPI Case Manager/Care Coordinator · McAlester, OK

NPI 1770154742 · NPPES record last updated Jul 9, 2021

Key facts

NPI
1770154742
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1602 N D St
McAlester, OK 74501-2314
Phone
(918) 426-1614
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Southern Oklahoma Treatment Services, Inc. Current
since Jul 17, 2021
Accepting new patients

Locations

1602 N D St
McAlester, OK 74501
Phone (918) 426-1214

Specialties & licenses

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

Addresses

Primary practice location

1602 N D St
McAlester, OK 74501-2314

Mailing address

1602 N D St
McAlester, OK 74501-2314
Phone (918) 426-1614

Other providers in McAlester, OK

All providers in McAlester, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.