Lela J Goatley, ARNP | |
716 S Highway 77, Newkirk, OK 74647-7009 | |
(580) 362-2555 | |
(580) 362-2948 |
Full Name | Lela J Goatley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 716 S Highway 77, Newkirk, 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 |
---|---|---|---|
1407008816 | NPI | - | NPPES |
200418170A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 100973 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 46230 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairfax Medical Facilities Inc | 4284663360 | 16 |
Entity Name | Fairfax Medical Facilities Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538183173 PECOS PAC ID: 4284663360 Enrollment ID: O20060209000250 |
Mailing Address | Practice Location Address |
---|---|
Lela J Goatley, ARNP 716 S Highway 77, Newkirk, OK 74647-7009 Ph: (580) 362-2555 | Lela J Goatley, ARNP 716 S Highway 77, Newkirk, OK 74647-7009 Ph: (580) 362-2555 |
Janae Miller, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 E River Rd, Newkirk, OK 74647 Phone: 580-362-1039 Fax: 580-362-1467 | |
Melissa Margaret Leven, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 S Highway 77, Newkirk, OK 74647 Phone: 580-362-2555 | |
Mary Tinsley, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3151 East River Road, Newkirk, OK 74647 Phone: 580-362-1039 Fax: 580-362-1039 |