Valerie Nicole Jolly, MD | |
731 12th Ave Nw, Suite 100, Ardmore, OK 73401-5761 | |
(580) 223-3216 | |
(580) 223-4184 |
Full Name | Valerie Nicole Jolly |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 19 Years |
Location | 731 12th Ave Nw, Ardmore, 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 |
---|---|---|---|
1780724260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | N6397 (Texas) | Secondary |
208600000X | Surgery | 24633 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Mercy Hospital Ada | Ada, OK | Hospital |
Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Enhanced Wound Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306594148 PECOS PAC ID: 2769877000 Enrollment ID: O20220726000190 |
Mailing Address | Practice Location Address |
---|---|
Valerie Nicole Jolly, MD 731 12th Ave Nw, Suite 100, Ardmore, OK 73401-5761 Ph: (580) 223-3216 | Valerie Nicole Jolly, MD 731 12th Ave Nw, Suite 100, Ardmore, OK 73401-5761 Ph: (580) 223-3216 |
Bethany Clutts, DO Surgery Medicare: Medicare Enrolled Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5400 | |
Ann Marie Cosgrove, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2007 North Commerce, Suite 200, Ardmore, OK 73401 Phone: 580-223-7576 | |
Wilfred S Gauthier, MD, FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 | |
Frederick A Dorroh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 12th Ave Nw, Suite 100, Ardmore, OK 73401 Phone: 580-223-3216 Fax: 580-223-4184 | |
Dr. Douglas Britton Morris, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite E, Ardmore, OK 73401 Phone: 580-223-3216 Fax: 580-223-4184 | |
Loyd Elliott Thayer, MD Surgery Medicare: Medicare Enrolled Practice Location: 2007 North Commerce Suite 200 Ardmore Oklahoma, Ardmore, OK 73401 Phone: 580-223-7576 |