Lori Lyn Enlow, NURSE PRACTITIONER | |
1203 E Ross Byp, Suite A, Tahlequah, OK 74464 | |
(918) 453-1234 | |
(918) 453-9107 |
Full Name | Lori Lyn Enlow |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1203 E Ross Byp, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700875598 | NPI | - | NPPES |
200000030A | Other | OK | MEDICAID GROUP NUMBER |
P00399872 | Other | OK | RAILROAD MEDICARE PIN NUMBER |
200073760A | Medicaid | OK | |
400522239 | Other | OK | MEDICARE GROUP PTAN |
DA5295 | Other | OK | RAILROAD MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R0067005 (Oklahoma) | Primary |
Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
Mailing Address | Practice Location Address |
---|---|
Lori Lyn Enlow, NURSE PRACTITIONER 1203 E Ross Byp Ste A, Tahlequah, OK 74464-4158 Ph: (918) 453-1234 | Lori Lyn Enlow, NURSE PRACTITIONER 1203 E Ross Byp, Suite A, Tahlequah, OK 74464 Ph: (918) 453-1234 |
Nancy Ellen Denton, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-316-6369 | |
Tina Marie Fort, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 N Cedar Ave, Tahlequah, OK 74464 Phone: 918-456-3456 Fax: 855-860-5341 | |
Kimberly Ann Watson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 | |
Libby Leininger Rogers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 529 N. Oak St, Tahlequah, OK 74464 Phone: 918-444-2126 Fax: 918-458-2300 | |
Dena J Lamons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Tracy L Ross, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1387 W 4th St, Tahlequah, OK 74464 Phone: 918-453-5554 Fax: 918-431-4112 | |
Florame Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Boone St Ste 1201, Tahlequah, OK 74464 Phone: 918-207-1189 |