| Focused Adult Llc | |
|
5900 Mosteller Dr Unit 3 Oklahoma City OK 73112-4640 | |
| (405) 608-8808 | |
| (405) 608-8812 |
| Full Name | Focused Adult Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5900 Mosteller Dr Unit 3, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jay Gregston (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4056088808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Focused Adult Llc 5900 Mosteller Dr Unit 3 Oklahoma City OK 73112-4640 Ph: (405) 608-8808 | Focused Adult Llc 5900 Mosteller Dr Unit 3 Oklahoma City OK 73112-4640 Ph: (405) 608-8808 |
| NPI Number | 1144882325 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 5597096065 |
|---|---|
| Medicare Enrollment ID | O20191015000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144882325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jay Lance Gregston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871581512 PECOS PAC ID: 8729014154 Enrollment ID: I20050715001036 |
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