Madelyn M Keck, ARNP | |
302 N Independence Street, Suite 700, Enid, OK 73701-4046 | |
(580) 249-3066 | |
(580) 234-5385 |
Full Name | Madelyn M Keck |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 302 N Independence Street, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922000280 | NPI | - | NPPES |
500017031 | Other | OK | RAILROAD MEDICARE |
444342284001 | Other | OK | BLUE CROSS |
100088110A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R0039619 (Oklahoma) | Primary |
Entity Name | Adult Gastroenterology Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306884812 PECOS PAC ID: 0840223921 Enrollment ID: O20050919000387 |
Mailing Address | Practice Location Address |
---|---|
Madelyn M Keck, ARNP Po Box 844737, Attn: Ipm Credentialing, Dallas, TX 75284-4737 Ph: (903) 416-1726 | Madelyn M Keck, ARNP 302 N Independence Street, Suite 700, Enid, OK 73701-4046 Ph: (580) 249-3066 |
Morgan Rose Messenger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 S Van Buren St, Enid, OK 73703 Phone: 580-234-9355 | |
Mr. David A Ward, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 N Independence Street, Suite 600, Enid, OK 73701 Phone: 580-242-1300 Fax: 580-237-7913 | |
Alea Nicole Rogers, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St Ste 304, Enid, OK 73701 Phone: 580-977-1902 Fax: 580-233-6106 | |
Mr. Nathan Veral Hollenbeck, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 S Madison St Ste 209a, Enid, OK 73701 Phone: 580-233-2300 | |
Mrs. Frances Colleen Billings, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 S 5th St, Enid, OK 73701 Phone: 580-233-6100 | |
Lora May Vaverka, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 S 5th St Ste 500, Enid, OK 73701 Phone: 580-249-5504 Fax: 580-234-5933 | |
Blaire Blankinship, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 N Van Buren St Ste 350, Enid, OK 73703 Phone: 580-366-0844 Fax: 580-297-5197 |