Brandy Jo Vermillion, APRN-CNP | |
114 S Louis Tittle Ave, Mangum, OK 73554-4406 | |
(580) 782-3393 | |
(580) 782-3395 |
Full Name | Brandy Jo Vermillion |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 114 S Louis Tittle Ave, Mangum, 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 |
---|---|---|---|
1275284028 | NPI | - | NPPES |
201045540A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 206477 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
Jackson County Memorial Hospital Authority | 1759293178 | 54 |
Entity Name | Jackson County Memorial Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
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 |
Mailing Address | Practice Location Address |
---|---|
Brandy Jo Vermillion, APRN-CNP 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 379-5000 | Brandy Jo Vermillion, APRN-CNP 114 S Louis Tittle Ave, Mangum, OK 73554-4406 Ph: (580) 782-3393 |
Patrecia Ann Fite, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 Phone: 580-782-5531 | |
Nelson Simba Ogembo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wickersham St, Mangum, OK 73554 Phone: 580-782-3353 | |
Patricia Anne Burks, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 | |
Ashley Brooke Slaton, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 |