| Charlysa Diana Gatlin Castillo, APRN CNP | |
|
905 Colony Dr, Ada, OK 74820-2329 | |
| (580) 436-5111 | |
| Not Available |
| Full Name | Charlysa Diana Gatlin Castillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 905 Colony Dr, Ada, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760910772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105641 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Oklahoma Family Medical Center Inc | 9931189685 | 49 |
| Entity Name | Central Oklahoma Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlysa Diana Gatlin Castillo, APRN CNP 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 Ph: (405) 237-7500 | Charlysa Diana Gatlin Castillo, APRN CNP 905 Colony Dr, Ada, OK 74820-2329 Ph: (580) 436-5111 |
Akilah Talibah Dunn, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd., Ada, OK 74820 Phone: 580-436-3980 | |
Mrs. Linda Louise Spooner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2330 Arlington St, Ada, OK 74820 Phone: 580-332-2011 Fax: 580-332-9537 | |
Dr. Tosha Lucille Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9989 | |
Qiong Mu Ross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 | |
Robin M Losee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Michelle Ann Cole, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9899 Fax: 580-310-9818 | |
Shari M Rhodes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Arlington St Ste F, Ada, OK 74820 Phone: 580-279-1788 |