Julie Vang Broaddrick, FNP-C | |
11911 S Memorial Dr, Bixby, OK 74008-2030 | |
(918) 943-3790 | |
Not Available |
Full Name | Julie Vang Broaddrick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 11911 S Memorial Dr, Bixby, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609463587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R0118511 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prophylaxis Healthcare Llc | 3072784289 | 21 |
Entity Name | Prophylaxis Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575 |
Mailing Address | Practice Location Address |
---|---|
Julie Vang Broaddrick, FNP-C Po Box 334, Bixby, OK 74008-0334 Ph: (918) 943-3790 | Julie Vang Broaddrick, FNP-C 11911 S Memorial Dr, Bixby, OK 74008-2030 Ph: (918) 943-3790 |
Robert Drew Haney, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2019 E 133rd St S, Bixby, OK 74008 Phone: 918-520-3636 Fax: 918-201-9179 | |
Ray E Stowers I, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6620 E 117th St S, Bixby, OK 74008 Phone: 918-269-1085 | |
David Noel Chorley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11911 S Memorial Dr, Bixby, OK 74008 Phone: 918-943-3790 Fax: 918-943-3793 | |
Summer Anne Fillmore, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11911 S Memorial Dr, Bixby, OK 74008 Phone: 918-369-3200 Fax: 918-369-3205 | |
Christin Baker-hankton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12620 S Memorial Dr, Bixby, OK 74008 Phone: 918-574-0150 | |
Dr. Cedric Michael Griffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7333 E 121st St S Ste 200, Bixby, OK 74008 Phone: 918-403-7140 Fax: 918-856-5392 | |
Terry L Mills, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7333 E 121st St S, Bixby, OK 74008 Phone: 918-403-7140 Fax: 918-856-5392 |