Judy Pearce, APRN | |
527 W 3rd St, Konawa, OK 74849-1415 | |
(580) 925-3286 | |
(580) 925-9149 |
Full Name | Judy Pearce |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 527 W 3rd St, Konawa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962407999 | NPI | - | NPPES |
200003810B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 51762 (Oklahoma) | Primary |
Entity Name | Central Oklahoma Family Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
Mailing Address | Practice Location Address |
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Judy Pearce, APRN 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 | Judy Pearce, APRN 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 |
Michel Danette Cosby, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-2362 | |
Mrs. Phyllis A Wallace, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149 | |
Emily Nicole Davis, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 |