Brent Jackson, | |
2377 County Road 1201, Tuttle, OK 73089-1067 | |
(405) 412-3213 | |
Not Available |
Full Name | Brent Jackson |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 2377 County Road 1201, Tuttle, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245967405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 96391 (Oklahoma) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 210172 (Oklahoma) | Primary |
Entity Name | Healthfirst Physicians Management Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891962460 PECOS PAC ID: 4183674500 Enrollment ID: O20081113000308 |
Mailing Address | Practice Location Address |
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Brent Jackson, 2377 County Road 1201, Tuttle, OK 73089-1067 Ph: () - | Brent Jackson, 2377 County Road 1201, Tuttle, OK 73089-1067 Ph: (405) 412-3213 |
Carl Lee Laffoon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5100 E Hwy 37, Tuttle, OK 73089 Phone: 405-381-5111 Fax: 405-381-5138 | |
Mrs. Timber Laine Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1391 County Road 1215, Tuttle, OK 73089 Phone: 405-412-5862 | |
Dr. Caitlin Lee Schroeder, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5100 E Highway 37, Tuttle, OK 73089 Phone: 405-381-5111 | |
Mrs. Michele Lynne Lange, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 904 Grandview Rd, Tuttle, OK 73089 Phone: 405-689-0433 | |
Cheryl Macneill, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 County Street 2935, Tuttle, OK 73089 Phone: 405-265-9954 |