Tracy Lee Wilkerson, DO | |
101 S Park Ln, Altus, OK 73521-5731 | |
(580) 379-6140 | |
(580) 379-6149 |
Full Name | Tracy Lee Wilkerson |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 18 Years |
Location | 101 S Park Ln, Altus, 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 |
---|---|---|---|
1952517732 | NPI | - | NPPES |
5101016863 | Other | MI | STATE LICENSE |
200294320A | Medicaid | OK | |
P01083969 | Other | OK | RAILROAD MEDICARE |
4707 | Other | OK | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4707 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwestern Medical Center | Lawton, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwestern Surgical Affiliates, Llc | 0941365308 | 24 |
Entity Name | Southwestern Surgical Affiliates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013169531 PECOS PAC ID: 0941365308 Enrollment ID: O20090218000457 |
Mailing Address | Practice Location Address |
---|---|
Tracy Lee Wilkerson, DO 101 S Park Ln, Altus, OK 73521-5731 Ph: (580) 379-6140 | Tracy Lee Wilkerson, DO 101 S Park Ln, Altus, OK 73521-5731 Ph: (580) 379-6140 |
Eteakamba Udoh, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Latoya Teresina Smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Julia Rivera-figueroa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Anibal Mikjail Avila, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
George S Massingill, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 S Park Ln Ste 200, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Dr. Vicente Yamil Sanchez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 |