Marcus Shane Wahl, APRN | |
200 Melville Dr, Pauls Valley, OK 73075-6610 | |
(405) 224-8111 | |
(405) 825-4530 |
Full Name | Marcus Shane Wahl |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 200 Melville Dr, Pauls Valley, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508408311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 58478 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifespring Home Care | Pauls valley, OK | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quickcare Aprn-cnp, Llc | 1658637814 | 11 |
Southern Plains Medical Center Inc | 5991618969 | 11 |
Entity Name | Lindsay Municipal Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144268723 PECOS PAC ID: 6103739297 Enrollment ID: O20031105000807 |
Entity Name | Southern Plains Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962469098 PECOS PAC ID: 5991618969 Enrollment ID: O20031106000698 |
Entity Name | Quickcare Aprn-cnp, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891222030 PECOS PAC ID: 1658637814 Enrollment ID: O20171106000273 |
Mailing Address | Practice Location Address |
---|---|
Marcus Shane Wahl, APRN 2222 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 224-8111 | Marcus Shane Wahl, APRN 200 Melville Dr, Pauls Valley, OK 73075-6610 Ph: (405) 224-8111 |
Ms. Shelly Rae Russeff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075 Phone: 405-207-9800 Fax: 405-207-9898 | |
Letitia Lynn Jackson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 W Grant Ave Ste 2, Pauls Valley, OK 73075 Phone: 405-238-3900 Fax: 405-238-3903 | |
Micki Richardson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075 Phone: 405-207-9800 | |
Michelle Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Burr Ave, Pauls Valley, OK 73075 Phone: 405-238-4633 | |
Mary Melinda Dennis, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075 Phone: 405-207-9800 Fax: 405-207-9898 | |
Brett Avery Baldwin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 W Guy Ave, Pauls Valley, OK 73075 Phone: 405-397-0035 Fax: 405-238-9342 |