Monica Dawn Leach, NP-C | |
200 White Eagle Dr, Ponca City, OK 74601-8315 | |
(580) 765-2501 | |
Not Available |
Full Name | Monica Dawn Leach |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 200 White Eagle Dr, Ponca City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437678562 | NPI | - | NPPES |
200805530A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F08170811 (Oklahoma) | Primary |
Entity Name | White Eagle Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699875724 PECOS PAC ID: 1456324193 Enrollment ID: O20040819000518 |
Entity Name | Williams Medical Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
---|---|
Monica Dawn Leach, NP-C 737 Elm St, Perry, OK 73077-4217 Ph: (405) 476-4175 | Monica Dawn Leach, NP-C 200 White Eagle Dr, Ponca City, OK 74601-8315 Ph: (580) 765-2501 |
Karen S Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 421 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-3342 Fax: 580-762-5841 | |
Dr. Mark A Oatman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 S Mccord Rd, Ponca City, OK 74604 Phone: 580-747-9039 | |
Mark Edward Rigney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Fairview Ave Ste 1, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bienvenido Dena Paz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 Fax: 580-765-7289 | |
Dr. Brad Alan Liston, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1908 N 14th St Ste 204, Ponca City, OK 74601 Phone: 580-763-5900 Fax: 580-763-5901 | |
Aaron Paul Wilcox, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Fairview Ave Ste 201, Ponca City, OK 74601 Phone: 580-762-9355 Fax: 580-762-3420 |