Matthew Heisey, ARNP-CNP | |
415 W Guy Ave, Pauls Valley, OK 73075-3200 | |
(405) 238-1170 | |
(405) 238-9342 |
Full Name | Matthew Heisey |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 415 W Guy Ave, Pauls Valley, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093172272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0106028 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 106028 (Oklahoma) | Primary |
Entity Name | Venture Medical Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366957482 PECOS PAC ID: 0749542934 Enrollment ID: O20180328001837 |
Mailing Address | Practice Location Address |
---|---|
Matthew Heisey, ARNP-CNP 415 W Guy Ave, Pauls Valley, OK 73075-3200 Ph: (405) 238-1170 | Matthew Heisey, ARNP-CNP 415 W Guy Ave, Pauls Valley, OK 73075-3200 Ph: (405) 238-1170 |
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 | |
Marcus Shane Wahl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Melville Dr, Pauls Valley, OK 73075 Phone: 405-224-8111 Fax: 405-825-4530 |