Kelly White, CNP | |
11911 S Memorial Dr, Bixby, OK 74008-2030 | |
(918) 943-3790 | |
(918) 943-3793 |
Full Name | Kelly White |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 11911 S Memorial Dr, Bixby, 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 |
---|---|---|---|
1437796711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 96367 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prophylaxis Healthcare Llc | 3072784289 | 21 |
Entity Name | Prophylaxis Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298 |
Entity Name | Comprehensive Rehab Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20220218000610 |
Mailing Address | Practice Location Address |
---|---|
Kelly White, CNP Po Box 334, Bixby, OK 74008-0334 Ph: (918) 970-4719 | Kelly White, CNP 11911 S Memorial Dr, Bixby, OK 74008-2030 Ph: (918) 943-3790 |
Mitzi Blanchard, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7333 E. 121st St S, Suite 200, Bixby, OK 74008 Phone: 918-403-7140 Fax: 918-856-5392 | |
Jonathan David Ybarra, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11911 S Memorial Dr, Bixby, OK 74008 Phone: 918-943-3790 Fax: 918-943-3793 | |
Bih Kandi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7423 E 159th St S, Bixby, OK 74008 Phone: 240-713-9842 | |
Evan Sheets, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7396 E 125th Pl S, Bixby, OK 74008 Phone: 918-740-4490 | |
Cheryl Beth Hynes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11911 S Memorial Dr, Bixby, OK 74008 Phone: 918-497-3700 Fax: 918-497-3717 |