Carlos Venegas Jr, ARNP | |
500 N Clarence Nash Blvd, Watonga, OK 73772-2845 | |
(580) 623-7211 | |
(580) 623-7233 |
Full Name | Carlos Venegas Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 500 N Clarence Nash Blvd, Watonga, 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 |
---|---|---|---|
1518115161 | NPI | - | NPPES |
200590320A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 46245 (Kansas) | Secondary |
363L00000X | Nurse Practitioner | 116073 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Watonga, Inc | Watonga, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospital Watonga Inc | 6305002759 | 5 |
Entity Name | Medical Resource Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
Entity Name | Mercy Hospital Watonga Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20130618000016 |
Entity Name | Mercy Hospital Watonga Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1497017529 PECOS PAC ID: 6305002759 Enrollment ID: O20140110000184 |
Entity Name | Mercy Hospital Tishomingo Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972809002 PECOS PAC ID: 1557542032 Enrollment ID: O20180507002045 |
Mailing Address | Practice Location Address |
---|---|
Carlos Venegas Jr, ARNP 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 Ph: (580) 623-7211 | Carlos Venegas Jr, ARNP 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 Ph: (580) 623-7211 |
Mrs. Molly Ann Mayfield, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 N Weigle Ave, Watonga, OK 73772 Phone: 580-623-2233 Fax: 580-623-2232 | |
Ginger Anderson, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 407 N Clarence Nash Blvd, Watonga, OK 73772 Phone: 580-623-4954 Fax: 580-623-4980 | |
Terri Nicole Williams, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 407 N Clarence Nash Blvd, Watonga, OK 73772 Phone: 580-623-4954 Fax: 580-623-4980 |