Jessica Jenae Acosta-van Den Berg, APRN-CNP | |
10321 N 2274 Rd, Clinton, OK 73601-7521 | |
(580) 331-3300 | |
(580) 323-2579 |
Full Name | Jessica Jenae Acosta-van Den Berg |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10321 N 2274 Rd, Clinton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922404888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 96005 (Oklahoma) | Primary |
Entity Name | Haskell Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700915782 PECOS PAC ID: 3577475664 Enrollment ID: O20031105000779 |
Entity Name | Watonga Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
Entity Name | Clinton Indian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
Mailing Address | Practice Location Address |
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Jessica Jenae Acosta-van Den Berg, APRN-CNP 10321 N 2274 Rd, Clinton, OK 73601-7521 Ph: (580) 331-3300 | Jessica Jenae Acosta-van Den Berg, APRN-CNP 10321 N 2274 Rd, Clinton, OK 73601-7521 Ph: (580) 331-3300 |
Mary Ann Schreck, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3140 Hayes Ave, Clinton, OK 73601 Phone: 580-323-1937 | |
Lindsay Dlugonski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 545 S. 30th Street, Clinton, OK 73601 Phone: 580-547-4087 Fax: 580-275-2838 | |
Jessica Simmons, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 N 30th St Ste 6, Clinton, OK 73601 Phone: 580-323-5300 | |
Ashley Dawn Morris, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2276 | |
Michelle Renee Tippeconnic, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10321 N 2274 Rd, Clinton, OK 73601 Phone: 405-274-7708 | |
Mrs. Ginger Lynn Woodall, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2276 | |
Melissa Torres Coons, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3140 W. Hayes, Clinton, OK 73601 Phone: 580-323-1937 |