Jennifer Danielle Gouge, | |
2036 S Miller Ln, Catoosa, OK 74015-1520 | |
(918) 739-4552 | |
Not Available |
Full Name | Jennifer Danielle Gouge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2036 S Miller Ln, Catoosa, 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 |
---|---|---|---|
1023590676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 97758 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Grove Hospital | Grove, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Williams Medical Group Practice Llc | 3375832157 | 144 |
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 |
Entity Name | South Central Emergency Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
Entity Name | Williams Medical Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Danielle Gouge, 1001 E 18th St, Grove, OK 74344-2907 Ph: (918) 786-2243 | Jennifer Danielle Gouge, 2036 S Miller Ln, Catoosa, OK 74015-1520 Ph: (918) 739-4552 |
Mrs. Charlene D Hoover, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5232 N Highway 167, Catoosa, OK 74015 Phone: 918-272-0033 Fax: 918-272-0039 | |
Kelsey Bryden Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 N Highway 66 Ste B, Catoosa, OK 74015 Phone: 918-266-4433 | |
Meagan Kay Meffert, APRN-CNP-,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1818 N.hwy 66 Ste B, Catoosa, OK 74015 Phone: 918-419-0860 | |
Brandi Suzanne Shell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2036 S Miller Ln Ste F, Catoosa, OK 74015 Phone: 918-739-4552 |