Dr Jack Stephen Aldridge, DO | |
30011 E State Highway 51, Coweta, OK 74429-7681 | |
(918) 486-2161 | |
(918) 486-3135 |
Full Name | Dr Jack Stephen Aldridge |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 30011 E State Highway 51, Coweta, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700878378 | NPI | - | NPPES |
100099700A | Medicaid | OK | |
500522075 | Other | OK | MEDICARE GROUP PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OK2679 (Oklahoma) | Primary |
Entity Name | Creek Nation Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Stephen Aldridge, DO 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3347 Ph: (918) 488-6001 | Dr Jack Stephen Aldridge, DO 30011 E State Highway 51, Coweta, OK 74429-7681 Ph: (918) 486-2161 |
Bradley Todd Anderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28622 E 141st St S, Coweta, OK 74429 Phone: 918-486-7425 Fax: 918-279-6884 | |
Dr. Lawrence E Vark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31870 E. Hwy 51, Coweta, OK 74429 Phone: 918-279-3200 | |
Dr. Bret A Hubbard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 S Broadway, Coweta, OK 74429 Phone: 918-486-5564 Fax: 918-486-3284 | |
Mrs. Kathleen Mary Mcgovern, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30011 E State Highway 51, Coweta, OK 74429 Phone: 918-486-2161 Fax: 918-486-3135 | |
Laren W Hightower, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28622 E 141st St S, Coweta, OK 74429 Phone: 918-486-7425 Fax: 918-279-6884 | |
Ronnie L Carr, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30011 E State Highway 51, Coweta, OK 74429 Phone: 918-486-2161 Fax: 918-486-3135 |