Jessica Michelle Degroat, | |
205 S Park Ln, Altus, OK 73521-5755 | |
(580) 379-6650 | |
Not Available |
Full Name | Jessica Michelle Degroat |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 205 S Park Ln, Altus, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528685401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 94-10426 (Kansas) | Secondary |
207Q00000X | Family Medicine | 41596 (Oklahoma) | Primary |
Entity Name | Jackson County Memorial Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
Mailing Address | Practice Location Address |
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Jessica Michelle Degroat, 205 S Park Ln, Altus, OK 73521-5755 Ph: (580) 379-6650 | Jessica Michelle Degroat, 205 S Park Ln, Altus, OK 73521-5755 Ph: (580) 379-6650 |
Carol Marie Sherman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659 | |
Jamie L Hokett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659 | |
Dr. Allissa Marie White, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659 | |
Abdallah S Dawod, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 S Park Ln, Suite B, Altus, OK 73521 Phone: 580-379-6550 Fax: 580-379-6559 | |
Dr. Lonnie Edwin Perryman Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6650 Fax: 580-379-6659 | |
Isaac Yourison, Family Medicine Medicare: Medicare Enrolled Practice Location: 301 N 1st St, Altus, OK 73523 Phone: 580-481-5180 | |
Dr. John Tran, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6653 Fax: 580-379-6709 |