Michelle Heesung Kim, | |
4401 S Western Ave, Oklahoma City, OK 73109-3413 | |
(405) 636-7000 | |
Not Available |
Full Name | Michelle Heesung Kim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4401 S Western Ave, Oklahoma City, 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 |
---|---|---|---|
1104467620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R0113839 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61045635 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Westcare Clinic Inc Ps | 1557259827 | 3 |
Entity Name | Westcare Clinic Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881769552 PECOS PAC ID: 1557259827 Enrollment ID: O20040308001310 |
Mailing Address | Practice Location Address |
---|---|
Michelle Heesung Kim, Po Box 5614, Norman, OK 73070-5614 Ph: (405) 636-7000 | Michelle Heesung Kim, 4401 S Western Ave, Oklahoma City, OK 73109-3413 Ph: (405) 636-7000 |
Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202 | |
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838 | |
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040 | |
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496 | |
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412 | |
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215 |