Cameron Keith Ethridge, APRN | |
2308b W Highway 66, Stroud, OK 74079-6729 | |
(918) 968-4469 | |
(918) 987-1622 |
Full Name | Cameron Keith Ethridge |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2308b W Highway 66, Stroud, 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 |
---|---|---|---|
1902361413 | NPI | - | NPPES |
200829490A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 121857 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stroud Regional Medical Center | Stroud, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
One Cura Family Clinic-stroud, Inc. | 9032499231 | 4 |
Entity Name | One Cura Family Clinic-stroud, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073969358 PECOS PAC ID: 9032499231 Enrollment ID: O20161205002327 |
Entity Name | One Cura Family Clinic-anadarko, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841646114 PECOS PAC ID: 6507146677 Enrollment ID: O20161207000093 |
Entity Name | Usacs Observation Medicine Services Of Oklahoma, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326739111 PECOS PAC ID: 9931562956 Enrollment ID: O20230823004181 |
Mailing Address | Practice Location Address |
---|---|
Cameron Keith Ethridge, APRN Po Box 777, Stroud, OK 74079-0777 Ph: (918) 290-9216 | Cameron Keith Ethridge, APRN 2308b W Highway 66, Stroud, OK 74079-6729 Ph: (918) 968-4469 |
Joshua Watkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308 Ok-66, Stroud, OK 74834 Phone: 918-968-3571 | |
Danielle B Cory, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 | |
Kristie Michelle Mcguire, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 | |
Jennifer Hinman, DNP-APRN-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308 W Highway 66 # B, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 | |
Dr. Daniel Hall, AQPRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308 Ok-66, Stroud, OK 74079 Phone: 918-968-3579 | |
Jayne Deanne Fortenberry, CNP-FAMILY Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 356110 E 930 Rd, Stroud, OK 74079 Phone: 918-968-9531 Fax: 918-968-0113 |