Misty Bilby
Individual provider Active NPI Case Manager/Care Coordinator · Mounds, OK
NPI 1962870048 · NPPES record last updated Sep 8, 2015
Key facts
- NPI
- 1962870048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 17225 S 89TH West Ave
Mounds, OK 74047-4127 - Phone
- (918) 230-0828
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20231002000776 | OK | Practitioner - Clinical Social Worker | 5092169698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Seervices | Current |
Accepting new patients | |
| Creoks Mental Health Services | Current | Accepting new patients | |
| Creoks Mental Health Services | Current |
Accepting new patients |
Locations
1803 S Wood Dr
Okmulgee, OK 74447
Phone (918) 756-9250
4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
17225 S 89TH West Ave
Mounds, OK 74047-4127
Mailing address
17225 S 89TH West Ave
Mounds, OK 74047-4127
Phone (918) 230-0828
Other providers in Mounds, OK
- Deborah Jo Alexander
- Brine and Beam Inc
- Brine and Beam LTC
- Floyd Denard Butler
- Kristen Carter
- Dee Gloved, LLC
All providers in Mounds, 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 Sep 8, 2015. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.