Charles M Fofang, NP | |
1122 Ne 13th St, Oklahoma City, OK 73117-1039 | |
(405) 271-4351 | |
(405) 271-8695 |
Full Name | Charles M Fofang |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1122 Ne 13th St, Oklahoma City, 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 |
---|---|---|---|
1093225989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F10170079 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthfirst Physicians Management Services, Inc. | 4183674500 | 27 |
Entity Name | Nes Oklahoma, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
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 |
Entity Name | Oklahoma Pulmonary And Critical Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558909002 PECOS PAC ID: 2860821147 Enrollment ID: O20200408000481 |
Entity Name | Ou Health Partners Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
---|---|
Charles M Fofang, NP Po Box 26901, Oklahoma City, OK 73126-0901 Ph: (405) 271-4351 | Charles M Fofang, NP 1122 Ne 13th St, Oklahoma City, OK 73117-1039 Ph: (405) 271-4351 |
Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202 | |
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838 | |
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040 | |
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496 | |
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412 | |
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215 |