Amanda Dawn Bittle

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

NPI 1811122005 · NPPES record last updated May 18, 2009

Key facts

NPI
1811122005
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
400 W 6TH St
Okmulgee, OK 74447-5000
Phone
(918) 758-4110
Fax
(918) 758-0407
NPI assigned
May 18, 2009
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
Creoks Behavioral Health Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

400 W 6TH St
Okmulgee, OK 74447-5000

Mailing address

4310 E 181St St S
Bixby, OK 74008-5627
Phone (918) 759-1312

Other providers in Okmulgee, OK

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

Sources for this page

Verify at the official NPI Registry.