Jonathan Perry Goodwin, APRN | |
3004 N 2nd St, Broken Arrow, OK 74012-8231 | |
(918) 713-1320 | |
Not Available |
Full Name | Jonathan Perry Goodwin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3004 N 2nd St, 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 |
---|---|---|---|
1336738293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201903 (Oklahoma) | Primary |
163WG0000X | Registered Nurse - General Practice | R0129507 (Oklahoma) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allergy Clinic Of Tulsa, Inc. | 7315925831 | 10 |
Entity Name | Allergy Clinic Of Tulsa, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538270954 PECOS PAC ID: 7315925831 Enrollment ID: O20040712000384 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Perry Goodwin, APRN 3004 N 2nd St, Broken Arrow, OK 74012-8231 Ph: (918) 713-1320 | Jonathan Perry Goodwin, APRN 3004 N 2nd St, Broken Arrow, OK 74012-8231 Ph: (918) 713-1320 |
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 |