Dylan Shockley, | |
1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | |
(405) 503-0366 | |
Not Available |
Full Name | Dylan Shockley |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1125 N Porter Ave Ste 301, Norman, 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 |
---|---|---|---|
1588295836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 113527 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norman Regional | Norman, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Norman Regional Providers Specialty Care | 5496900706 | 142 |
Entity Name | Norman Regional Providers Specialty Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548513773 PECOS PAC ID: 5496900706 Enrollment ID: O20130312000200 |
Entity Name | Crescent Infectious Diseases Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538501028 PECOS PAC ID: 8820222847 Enrollment ID: O20131007000930 |
Mailing Address | Practice Location Address |
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Dylan Shockley, 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 Ph: () - | Dylan Shockley, 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 Ph: (405) 503-0366 |
Ms. Heidi Gehret Logsdon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 N Porter Ave Ste 100, Norman, OK 73071 Phone: 405-914-4850 | |
Jodi M Dodson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1139 36th Ave Nw, Suite 100, Norman, OK 73072 Phone: 405-217-9997 Fax: 405-307-8520 | |
Mishell J Kerr, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 317 E Himes St, Norman, OK 73069 Phone: 405-632-6688 | |
Jaime L Mcminn, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Crossroads Blvd Ste 100, Norman, OK 73072 Phone: 405-310-2715 Fax: 405-310-6720 | |
Matthew J Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15951 Little Axe Dr, Norman, OK 73026 Phone: 405-447-0300 | |
Crystal Ann Conley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2920 Adams Rd Ste 100a, Norman, OK 73069 Phone: 580-736-3557 Fax: 188-823-6307 | |
Megan Rachelle Day, ARNP-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2342 N Interstate Dr, Norman, OK 73072 Phone: 405-310-3113 |