Michelle Deshazer, RN is a
Registered Nurse based in Commerce, Oklahoma. Michelle Deshazer is licensed to practice in Oklahoma (license number R0108670) and her current practice location is
124 N Mickey Mantle Blvd, Commerce, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 961-0750.
NPI number for Michelle Deshazer is 1811368863 and her current mailing address is 124 N Mickey Mantle Blvd, Commerce, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811368863.
Provider's Profile
Full Name | Michelle Deshazer |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 124 N Mickey Mantle Blvd, Commerce, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811368863
- Provider Enumeration Date: 10/16/2015
- Last Update Date: 11/11/2015
Medical Identifiers
Medical identifiers for Michelle Deshazer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811368863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R0108670 (Oklahoma) | Primary |
163W00000X | Registered Nurse | RN2003006810 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Deshazer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Deshazer, RN 124 N Mickey Mantle Blvd, Commerce, OK 74339-1106 Ph: (918) 961-0750 | Michelle Deshazer, RN 124 N Mickey Mantle Blvd, Commerce, OK 74339-1106 Ph: (918) 961-0750 |
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