Michel Danette Cosby, APRN | |
527 W 3rd St, Konawa, OK 74849-1415 | |
(580) 925-3286 | |
(580) 925-2362 |
Full Name | Michel Danette Cosby |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 527 W 3rd St, Konawa, 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 |
---|---|---|---|
1235673799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0058168 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ada | Ada, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Oklahoma Family Medical Center Inc | 9931189685 | 49 |
Entity Name | Gary Paddack |
---|---|
Entity Type | Practitioner - Internal Medicine |
Entity Identifiers | NPI Number: 1053389833 PECOS PAC ID: 8729060041 Enrollment ID: I20040602001345 |
Entity Name | Central Oklahoma Family Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
Mailing Address | Practice Location Address |
---|---|
Michel Danette Cosby, APRN 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 | Michel Danette Cosby, APRN 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 |
Mrs. Phyllis A Wallace, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149 | |
Emily Nicole Davis, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 | |
Judy Pearce, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149 |