Mr Michael Lashane Holt, APRN | |
1400 E Downing St, Tahlequah, OK 74464-3324 | |
(918) 458-2444 | |
Not Available |
Full Name | Mr Michael Lashane Holt |
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Gender | Male |
Speciality | Family Medicine - Addiction Medicine |
Location | 1400 E Downing St, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629728464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0401X | Family Medicine - Addiction Medicine | 205318 (Oklahoma) | Primary |
Entity Name | Northeastern Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Mailing Address | Practice Location Address |
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Mr Michael Lashane Holt, APRN 11024 W 835 Rd, Fort Gibson, OK 74434-6340 Ph: (918) 616-1111 | Mr Michael Lashane Holt, APRN 1400 E Downing St, Tahlequah, OK 74464-3324 Ph: (918) 458-2444 |
Sylvia Soto, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3115 | |
Shawn Scarberry Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-4100 Fax: 539-234-4101 | |
Dr. Sharon C Smallwood, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3610 | |
David Ryan Markes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Rebecca C Lewis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17611 South Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-4911 Fax: 918-458-6221 | |
Dr. Kendall Harris, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Dr. Owen Buck Gilmore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 |