Date: 01/05/2015 Time: 12:54 Case Manager Name CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 1 As of January 1, 2015 Mailing Address/Office Address Services Area of State Phone #/Contact Baldwin, Kathy RN, CCM Mailing/Office Address 7700 NW 30 Street Bethany, OK 73108 medical case management Statewide Phone: ( ) Fax: ( ) - Brassfield, Klaire RN, CCM Mailing/Office Address PO Box 720717 Norman, OK 73070 medical case management, phone and in-person case management EXCLUDED SERVICES: None statewide Phone: (405)447-7997 Fax: (405)447-7992 medical case management Tulsa Brody, Jocelyn RN, CCM Mailing Address: 6708 E 73 St Tulsa, OK 73133 [email protected] Korey Phone: (918)691-7294 Fax: (877)236-7382 Joy Office Address: 5600 N May Ave Ste 290 Oklahoma City, OK 73112 Carrel, Kari K. RN, CCM Collins, Marietta "Marty" R.N., CCM Mailing/Office Address 4141 Browne Ave Guthrie, OK 73044 Mailing/Office Address PO Box 271135 Oklahoma City, OK 73137 all CCM including telephone case management EXCLUDED SERVICES: none (OKC & Tulsa) statewide Phone: (580)364-3334 Fax: (855)612-2112 [email protected] self statewide Phone: (405)324-5895 Fax: (405)324-7796 [email protected] Marty Collins Date: 01/05/2015 Time: 12:54 Case Manager Name Cox, Gwynn RN, CCM CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 2 As of January 1, 2015 Mailing Address/Office Address Mailing/Office Address 6303 N Portland Ste 210 Oklahoma City, OK 73112 Services medical case management EXCLUDED SERVICES: Psych Area of State statewide Phone #/Contact Phone: (405)917-2252 Fax: (877)236-7382 [email protected] Joy Wyman Daugherty, Connie RN.CRRN Douglas, Sharon E. RN, CCM Mailing/Office Address 13602 E 450 Rd Claremore, OK 74017 Mailing/Office Address 5600 N May Ave Ste 290 Oklahoma City, OK 73112 case management & telephone case management EXCLUDED SERVICES: none Tulsa, Bartlesville, Muskogee all case management EXCLUDED SERVICES: pediatric, gynecological OKC Phone: (918)857-9236 Fax: ( ) connie.daugherty@alaris group.com self Phone: (405)810-1200 Fax: ( ) Joy Wyman Ederer, Kurt RN, CCM Mailing Address: P.O. Box 1203 Mustang, OK 73064 case management to include telephone case managment EXCLUDED SERVICES: none statewide case management in person & telephone EXCLUDED SERVICES: none statewide Phone: (405)229-2340 Fax: ( ) Joan Office Address: , OK Foreman, Dana D. RN, CCM Mailing Address: PO Box 720717 Norman, OK 73070 Phone: (405)447-7997 Fax: (405)447-7992 [email protected] Jessica, Kim Date: 01/05/2015 Time: 12:54 Case Manager Name CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 3 As of January 1, 2015 Mailing Address/Office Address Services Area of State Phone #/Contact Foreman, Dana D. RN, CCM (con't) Office Address: 121 Collier Dr Ste 700 Norman, OK 73071 Forsythe, Mary RN, CCM Mailing/Office Address PO Box 31617 Edmond, OK 73003-0027 medfical case management Oklahoma City area Phone: (405)216-5711 Fax: (405)359-9621 [email protected] self Frye, Jill RN, CCM Mailing/Office Address PO Box 892856 Oklahoma City, OK 73189-2856 medical case management Statewide Phone: (405)691-0455 Fax: (405)691-4045 [email protected] Jill Hamel, Linda RN, CCM Mailing/Office Address PO Box 10875 Midwest City, OK 73140 medical case management EXCLUDED SERVICES: Psych Statewide Phone: (405)535-5135 Fax: (405)769-0085 [email protected] Linda Havelka, Jane RN, CCM Mailing/Office Address 6303 N Portland Avenue Ste 210 Oklahoma City, OK 73112 medical case management, telephone case management EXCLUDED SERVICES: None Statewide Phone: (405)810-1200 Fax: (877)236-7382 [email protected] Joy Date: 01/05/2015 Time: 12:54 Case Manager Name Huff, Lon CDMS CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 4 As of January 1, 2015 Mailing Address/Office Address Mailing/Office Address 3233 E Memorial Rd Ste 107A Edmond, OK 73013 Johnston, Susan "Susie" A. RN, CDMS, Mailing/Office Address CCM 5830 NW Expressway Ste 126 Oklahoma City, OK 73132 Services Area of State disability management specialists, medical management EXCLUDED SERVICES: None Statewide all EXCLUDED SERVICES: none statewide Phone #/Contact Phone: (405)848-9306 Fax: ( ) [email protected] Ann Phone: (405)388-2391 Fax: (405)470-3293 [email protected] self Kelly, Ruth Ann RN Mailing/Office Address PO Box 50427 Tulsa, OK 74150-0427 medical case management EXCLUDED SERVICES: None Northeastern Oklahoma Phone: (918)749-7315 Fax: (918)749-8024 [email protected] Ruth Ann Lindsey, Joy R.N., COHN-S Mailing/Office Address 3233 E Memorial Rd Ste 107A Edmond, OK 73013 case management statewide Phone: (405)848-9306 Fax: (405)848-9306 [email protected] Lon Huff Little, Shea RN Mailing Address: 5030 N May Avenue Ste 162 Oklahoma City, OK 73112 Office Address: 11900 N Pennsylvania Ave Oklahoma City, OK 73120 all including telephone case management EXCLUDED SERVICES: none statewide Phone: (405)752-9000 Fax: (405)752-2267 [email protected] self Date: 01/05/2015 Time: 12:54 Case Manager Name CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 5 As of January 1, 2015 Mailing Address/Office Address Services Area of State Phone #/Contact McCauley, Aretes M. "Rita" RN, CCM, Mailing/Office Address CLCP 6303 N Portland Ste 210 Oklahoma City, OK 73112 medical case management, life care planner for spinal cord injuries, record review, telephone case management EXCLUDED SERVICES: None Edmond, OKC, Norman Phone: ( ) Fax: ( ) - Mitchell, Jean "Jeanie" RN, CCM, CMC Mailing Address: PO Box 721055 Oklahoma City, OK 73172 medical case management (onsite & telephone) EXCLUDED SERVICES: None Statewide Phone: (405)833-1545 Fax: (888)420-3268 medical case management, life care planner, telephone case management EXCLUDED SERVICES: None Statewide medical case management EXCLUDED SERVICES: none statewide [email protected] Jeanie Office Address: PO Box 8154 Edmond, OK 73013 Morales, Laura RN, CCM Ohlheiser, John RN, CCM Mailing/Office Address PO Box 31617 Edmond, OK 73003-0027 Mailing/Office Address PO Box 720688 Oklahoma City, OK 73172-0688 Phone: (405)285-8426 Fax: (405)562-8529 [email protected] Laura Phone: (405)306-5915 Fax: ( ) [email protected] John Date: 01/05/2015 Time: 12:54 Case Manager Name Ohlheiser, Nicki RN, CCM CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 6 As of January 1, 2015 Mailing Address/Office Address Mailing/Office Address PO Box 720688 Oklahoma City, OK 73172 Services medical case management, EXCLUDED SERVICES: None Area of State OKC area Phone #/Contact Phone: (405)306-5915 Fax: ( ) [email protected] Nicki Ransom-Fedor, Janet RN, CCM Mailing/Office Address 6303 N Portland Ste 210 Oklahoma City, OK 73112 Case Management (telephone & in-person) Oklahoma City Phone: (405)917-2252 Fax: (405)302-0318 [email protected] Joy Ridley, Christi RN Mailing Address: 5030 N May Avenue Ste 162 Oklahoma City, OK 73112 all including telephone case management statewide Phone: (405)752-9000 Fax: (405)752-2267 [email protected] self Office Address: 11900 N Pennsylvania Ave Oklahoma City, OK 73120 Roop, Gail RN, CCM Schroeder, Denise RN, CCM Mailing/Office Address PO Box 597 Owasso, OK 74055 Mailing/Office Address PO Box 721028 Norman, OK 73072 medical case management (in person & telephone) EXCLUDED SERVICES: None Tulsa, Northeastern OK medical case management EXCLUDED SERVICES: None Oklahoma City, Statewide Phone: (918)665-7550 Fax: (918)665-7889 [email protected] self Phone: (405)321-3778 Fax: ( ) [email protected] Denise Date: 01/05/2015 Time: 12:54 Case Manager Name Smith, Laurie RN, CCM Sole, Shannon R.N., CCM Stines, Patsy Bell RN, CCM CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 7 As of January 1, 2015 Mailing Address/Office Address Mailing/Office Address PO Box 928 Greenwood, AR 72936 Mailing/Office Address PO Box 597 Owasso, OK 74055 Mailing/Office Address 6528 E 101 St Ste D1 #420 Tulsa, OK 74133 Services Area of State medical case management, telephone case management EXCLUDED SERVICES: None All Oklahoma and Arkansas medical nurse case management (onsite & phone) EXCLUDED SERVICES: none Tulsa, statewide medical case management EXCLUDED SERVICES: mental health cases Tulsa and immediate surrounding areas only Phone #/Contact Phone: (479)650-8049 Fax: (866)407-6394 [email protected] Laurie Phone: (918)645-2822 Fax: (918)371-6716 [email protected] self Phone: (918)808-6599 Fax: (918)299-6959 [email protected] Patsy Tikhonoff, Karen R. RN, CCM Mailing Address: PO Box 721082 Norman, OK 73070 medical case management EXCLUDED SERVICES: None Statewide Phone: (405)570-6770 Fax: (405)701-2925 [email protected] Karen Office Address: 2114 Martingale Norman, OK 73070 Vincent, Linda C. (Cathy) RN, CCM Mailing/Office Address 329 SE 6 Moore, OK 73160 medical case management EXCLUDED SERVICES: None OKC (100 mi area) Phone: (405)550-0038 Fax: (405)794-9728 [email protected] self Date: 01/05/2015 Time: 12:54 Case Manager Name Wheeler, Donna RN, CCM CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Page: 8 As of January 1, 2015 Mailing Address/Office Address Mailing Address: PO Box 247 Hinton, OK 73047 Services Area of State medical case management EXCLUDED SERVICES: telephone case management vocational evaluations OKC & west/some Tulsa medical case management (in-person & telephone), disability management Edmond Phone #/Contact Phone: (405)406-7014 Fax: ( ) [email protected] & pokey994@hinton self, Glenda Office Address: 3030 NW Expressway Ste 625 Oklahoma City, OK 73112 Wilson, Christy CDMS Mailing Address: PO Box 745 Edmond, OK 73083 Phone: (405)330-9291 Fax: (405)330-7961 [email protected] Lita Office Address: 120 N Bryant Ste A5 Edmond, OK 73034 Wilson, Ricky Edward RN Mailing Address: 5030 N May Ste 162 Oklahoma City, OK 73112 Office Address: 11900 N Pennsylvania Ste A10 Oklahoma City, OK 73120 medical case management EXCLUDED SERVICES: None Statewide Phone: (405)752-9000 Fax: (405)752-2267 [email protected]
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