Anissa Marie Mayhew
Case Manager/Care Coordinator in Vinita, OK. Individual provider (NPI-1).
NPI number1003390907
StatusActive
Last updated in NPPESSep 18, 2018
Details
- NPI
- 1003390907
- Entity type
- Individual (NPI-1)
- Name
- Anissa Marie Mayhew
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2018
- Last updated
- Sep 18, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
405 E Excelsior AveVinita, OK 74301-4226
Phone 918-245-6476 · Fax 918-256-3628
Mailing address
405 E Excelsior AveVinita, OK 74301-4226
Phone 918-245-6476 · Fax 918-256-3628
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 91 Case Manager/Care Coordinator providers in Vinita · All 610 providers in Vinita
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