Braden Peterson, APRN-BC | |
6814 Nw 23rd St, Bethany, OK 73008-5217 | |
(405) 603-1175 | |
Not Available |
Full Name | Braden Peterson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 6814 Nw 23rd St, Bethany, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245762020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 90405 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oklahoma Medical Pain Management | 0042474363 | 2 |
Peterson Healthcare Llc | 6103251988 | 3 |
Entity Name | Oklahoma Medical Pain Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972872448 PECOS PAC ID: 0042474363 Enrollment ID: O20120615000429 |
Entity Name | Peterson Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609414168 PECOS PAC ID: 6103251988 Enrollment ID: O20200124001837 |
Entity Name | Darsco Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922644061 PECOS PAC ID: 2163851478 Enrollment ID: O20200408001978 |
Entity Name | Sunnylane Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255922811 PECOS PAC ID: 0042608820 Enrollment ID: O20211027002677 |
Entity Name | Noble Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467177857 PECOS PAC ID: 1759755697 Enrollment ID: O20230316001114 |
Mailing Address | Practice Location Address |
---|---|
Braden Peterson, APRN-BC 3609 Carnoustie Dr, Norman, OK 73072-1947 Ph: () - | Braden Peterson, APRN-BC 6814 Nw 23rd St, Bethany, OK 73008-5217 Ph: (405) 603-1175 |
Jessica Wynn Harris, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-440-6750 | |
Bao Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 | |
Tami Mcmichael, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-789-5978 | |
Ms. Lyn Glezen Brant, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6801 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-2441 Fax: 405-789-7978 | |
Adele Burt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-440-9866 | |
Jason C Klein, CPNP, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-438-3834 |