Gary Dwayne Raleigh, NP | |
503 S Aspen, Broken Arrow, OK 74012 | |
(918) 331-9184 | |
(918) 331-9187 |
Full Name | Gary Dwayne Raleigh |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 503 S Aspen, Broken Arrow, 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 |
---|---|---|---|
1336333442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 60070 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Health System | Tahlequah, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Health System | 1456255025 | 94 |
Entity Name | Northeastern Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Entity Name | Nes Oklahoma, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
Entity Name | Thi Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952763922 PECOS PAC ID: 6103118153 Enrollment ID: O20160712001228 |
Entity Name | Truepartners Comanche Emergency Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104329697 PECOS PAC ID: 9436414612 Enrollment ID: O20180518000529 |
Mailing Address | Practice Location Address |
---|---|
Gary Dwayne Raleigh, NP 6906 E 83rd St N, Owasso, OK 74055-7290 Ph: (918) 341-6873 | Gary Dwayne Raleigh, NP 503 S Aspen, Broken Arrow, OK 74012 Ph: (918) 331-9184 |
Carmen Kay Oakes, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012 Phone: 918-237-9627 | |
Makeda Gant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1129 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-764-9300 Fax: 918-764-9275 | |
Mrs. Kristi Gene Sager, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-693-0834 | |
Ms. Kyndal Renee' Stevens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-0414 | |
Ms. Mary Constance Starr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-2952 | |
Ms. Jamie Larie Kitchens, DNP, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-455-0414 | |
Mrs. Christina Lou Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 N 9th St, Broken Arrow, OK 74012 Phone: 918-355-7900 Fax: 918-355-7929 |