| Chronic Cardz | |
|
310 Ne 28th St Ste 203 Oklahoma City OK 73105-2837 | |
| (844) 902-1142 | |
| (405) 444-3014 |
| Full Name | Chronic Cardz |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Ne 28th St Ste 203, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Shantell Robinson (OWNER) |
| Authorized Official Contact | 4052762029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chronic Cardz 310 Ne 28th St Ste 203 Oklahoma City OK 73105-2837 Ph: (844) 902-1142 | Chronic Cardz 310 Ne 28th St Ste 203 Oklahoma City OK 73105-2837 Ph: (844) 902-1142 |
| NPI Number | 1790418283 |
|---|---|
| Provider Enumeration Date | 07/02/2022 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 6709255714 |
|---|---|
| Medicare Enrollment ID | O20221214002514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790418283 | NPI | - | NPPES |
| 1790418283 | Medicaid | OK | |
| 717708 | Medicaid | OK | |
| F0610518 | Medicaid | OK | |
| 1558675074 | Medicaid | OK | |
| 363L00000X | Medicaid | OK | |
| N083704850 | Other | OK | TELE HEALTH SERVICES |
| Provider Name | Kammie M Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780663575 PECOS PAC ID: 1951350461 Enrollment ID: I20050121000242 |
| Provider Name | Mark Steven Hamra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164428215 PECOS PAC ID: 2062881758 Enrollment ID: I20221220002220 |
| Provider Name | Angela Straface |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588643621 PECOS PAC ID: 6709895162 Enrollment ID: I20230824001515 |
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