OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 1 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Baldwin, Kathy RN, CCM Mailing/Office Address medical case management Statewide Phone: (405)202-3460 7700 NW 30 Street Fax: (405)495-0798 Bethany, OK 73108 self Brassfield, Klaire RN, CCM Mailing/Office Address medical case management, phone and statewide Phone: (405)447-7997 PO Box 720717 in-person case management Fax: (405)447-7992 Norman, OK 73070 EXCLUDED SERVICES: [email protected] None Korey Brinkley, Susan R.N. Mailing Address: Medical Case Management Oklahoma City Phone: (405)317-5062 2741 NW 155th Street Fax: (877)236-7382 Edmond, OK 73013 [email protected] Joy Office Address: 6303 N Portland Suite 210 Oklahoma City, OK 73112 Brody, Jocelyn RN, CCM Mailing/Office Address medical case management Tulsa Phone: (918)691-7294 6303 N Portland Ave Suite 210 Fax: (877)236-7382 Oklahoma City, OK 73112 [email protected] Joy OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 2 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Carrel, Kari K. RN, CCM Mailing/Office Address all CCM including telephone case (OKC & Tulsa) statewide Phone: (580)364-3334 4141 Browne Ave management Fax: (855)710-6644 Guthrie, OK 73044 EXCLUDED SERVICES: [email protected] none self Collins, Marietta "Marty" R.N., CCM Mailing/Office Address Medical case management including statewide Phone: (405)324-5895 PO Box 271135 telephone Fax: (405)324-7796 Oklahoma City, OK 73137 [email protected] Marty Collins Douglas, Sharon E. RN, CCM Mailing/Office Address all case management OKC Phone: (405)917-2252 6303 N Portland Suite 210 Fax: (877)236-7382 Oklahoma City, OK 73112 Joy Wyman Duehning, Deanna RN Mailing/Office Address Case management including telephone Statewide Phone: (405)834-0037 5633 Cimarron Manor case mangement Fax: ( ) - Guthrie, OK 73044 EXCLUDED SERVICES: [email protected] none Foreman, Dana D. RN, CCM Mailing Address: case management in person & telephone statewide Phone: (405)447-7997 PO Box 720717 EXCLUDED SERVICES: Fax: (405)447-7992 Norman, OK 73070 none [email protected] Jessica, Kim Office Address: 121 Collier Dr Ste 700 Norman, OK 73071 OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 3 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Forsythe, Mary RN, CCM Mailing/Office Address medfical case management Oklahoma City area Phone: (405)216-5711 PO Box 31617 Fax: (405)359-9621 Edmond, OK 73003-0027 [email protected] self Frye, Jill RN, CCM Mailing/Office Address medical case management Statewide Phone: (405)691-0455 PO Box 892856 Fax: (405)691-4045 Oklahoma City, OK 73189-2856 [email protected] Jill Havelka, Jane RN, CCM Mailing/Office Address medical case management, telephone Statewide Phone: (405)917-2252 6303 N Portland Avenue Ste 210 case management Fax: (877)236-7382 Oklahoma City, OK 73112 EXCLUDED SERVICES: [email protected] None Joy Huff, Lon CDMS Mailing/Office Address disability management specialists, Statewide Phone: (405)848-9306 3233 E Memorial Rd Ste 107A medical management Fax: ( ) - Edmond, OK 73013 EXCLUDED SERVICES: [email protected] None Ann Johnston, Susan "Susie" A. RN, CDMS, Mailing/Office Address all statewide Phone: ( ) - CCM 5830 NW Expressway Ste 126 EXCLUDED SERVICES: Fax: ( ) - Oklahoma City, OK 73132 none OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 4 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Kelly, Ruth Ann RN Mailing/Office Address medical case management Northeastern Oklahoma Phone: (918)749-7315 PO Box 50427 EXCLUDED SERVICES: Fax: (918)749-8024 Tulsa, OK 74150-0427 None [email protected] Ruth Ann Lindsey, Joy R.N., COHN-S Mailing/Office Address case management statewide Phone: (405)848-9306 3233 E Memorial Rd Ste 107A Fax: (405)848-9306 Edmond, OK 73013 [email protected] Lon Huff Little, Shea RN Mailing/Office Address all including telephone case statewide Phone: (405)602-1300 P.O. Box 30635 management Fax: (405)509-7075 Edmond, OK 73003 EXCLUDED SERVICES: [email protected] none self Maddox, Karissa R.N. Mailing/Office Address statewide Phone: (580)225-4855 104 Clyde Fax: ( ) - Elk City, OK 73644 [email protected] McCauley, Aretes M. "Rita" RN, CCM, Mailing/Office Address medical case management, life care Edmond, OKC, Norman Phone: (405)341-0515 CLCP 6303 N Portland Ste 210 planner for spinal cord injuries, Fax: (405)341-0533 Oklahoma City, OK 73112 record review, telephone case [email protected] management Joy EXCLUDED SERVICES: None OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 5 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Mitchell, Jean "Jeanie" RN, CCM, CMC Mailing Address: medical case management (onsite & Statewide Phone: (405)833-1545 PO Box 721055 telephone) Fax: (888)420-3268 Oklahoma City, OK 73172 EXCLUDED SERVICES: [email protected] None self Office Address: PO Box 8154 Edmond, OK 73013 Morales, Laura RN, CCM Mailing/Office Address medical case management, life care Statewide Phone: (405)285-8426 PO Box 31617 planner, telephone case management Fax: (405)562-8529 Edmond, OK 73003-0027 EXCLUDED SERVICES: [email protected] None Laura Ohlheiser, John RN, CCM Mailing/Office Address medical case management statewide Phone: (405)306-5915 PO Box 720688 EXCLUDED SERVICES: Fax: ( ) - Oklahoma City, OK 73172-0688 none [email protected] John Ohlheiser, Nicki RN, CCM Mailing/Office Address medical case management, OKC area Phone: (405)306-5915 PO Box 720688 EXCLUDED SERVICES: Fax: ( ) - Oklahoma City, OK 73172 None [email protected] Nicki OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 6 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Owens, April R.N. Mailing/Office Address case management Tulsa, OKC Phone: (918)402-0020 P.O. Box 52375 Fax: ( ) - Tulsa, OK 74152 [email protected] April Ransom-Fedor, Janet RN, CCM Mailing Address: Case Management (telephone & Oklahoma City Phone: (405)751-8134 P.O. Box 20562 in-person) Fax: ( ) - Oklahoma City, OK 73156 [email protected] Office Address: 6303 N Portland Ste 210 Oklahoma City, OK 73112 Ridley, Christi RN Mailing Address: all including telephone case statewide Phone: (405)752-9000 5030 N May Avenue Ste 162 management Fax: (405)752-2267 Oklahoma City, OK 73112 [email protected] self Office Address: 11900 N Pennsylvania Ave Oklahoma City, OK 73120 Roop, Gail RN, CCM Mailing/Office Address medical case management (in person & Tulsa, Northeastern OK Phone: (918)665-7550 PO Box 597 telephone) Fax: (918)665-7889 Owasso, OK 74055 EXCLUDED SERVICES: [email protected] None self OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 7 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Schroeder, Denise RN, CCM Mailing/Office Address medical case management Oklahoma City, Statewide Phone: (405)321-3778 PO Box 721028 EXCLUDED SERVICES: Fax: ( ) - Norman, OK 73072 None [email protected] Denise Sharpe, Mary RN Mailing/Office Address case management statewide Phone: (405)848-3595 PO Box 238800 EXCLUDED SERVICES: Fax: ( ) - Oklahoma City, OK 73123 none [email protected] Smith, Laurie RN, CCM Mailing/Office Address medical case management, telephone All Oklahoma and Arkansas Phone: (479)650-8049 PO Box 928 case management Fax: (866)407-6394 Greenwood, AR 72936 EXCLUDED SERVICES: [email protected] None Laurie Sole, Shannon R.N., CCM Mailing/Office Address medical nurse case management (onsite Tulsa, statewide Phone: (918)645-2822 PO Box 597 & phone) Fax: (918)371-6716 Owasso, OK 74055 EXCLUDED SERVICES: [email protected] none self Sommer, Chad RN Mailing/Office Address case management Statewide Phone: (405)848-3595 PO Box 238800 EXCLUDED SERVICES: Fax: ( ) - Oklahoma City, OK 73123 none [email protected] OKLAHOMA WORKERS' COMPENSATION COMMISSION AND COURT OF EXISTING CLAIMS Date: 02/23/2016 CCM APPOINTMENT DIRECTORY INFORMATION Rpt ID: CCMDIR Time: 10:11 As of January 1, 2016 Page: 8 Case Manager Name Mailing Address/Office Address Services Area of State Phone #/Contact Spencer, Kyle RN Mailing/Office Address case management (in person and by statewide Phone: (405)602-1300 P.O. Box 30635 phone) Fax: ( ) - Edmond, OK 73003 [email protected] Katherine Stasilli, Annalou R.N. Mailing/Office Address in person and telephone case OKC Phone: (405)271-8767 2220 N Classen Suite A management Fax: ( )