| 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 | 17 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 |
Ginger Anderson, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 N Clarence Nash Blvd, Watonga, OK 73772 Phone: 580-623-4954 Fax: 580-623-4980 |