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Macaria Rene' Dodd

Social Worker

Behavioral Health & Social Service Providers

6202 S Lewis Ave, Suite J, Tulsa, OK 74136-1099

PECOS Enrollment

This provider is enrolled in PECOS as MACARIA DODD.

Based on the most recent information from CMS, provider Macaria Rene' Dodd is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1689902959
Provider Type
Individual
Full Name
Dodd, Macaria Rene'
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/25/2009
Last Updated
2/10/2017

Contact Information

Practice Location

6202 S Lewis Ave, Suite J, Tulsa, OK 74136-1099

(918) 577-4144

Unlisted Fax

Mailing Location

650 S Peoria Ave, Tulsa, OK 74120-4429

(918) 587-9471

(918) 560-1399

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 4167 Oklahoma

Macaria Rene' Dodd

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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