Michelle Martin, | |
106 Burr Ave, Pauls Valley, OK 73075-3848 | |
(405) 238-4633 | |
Not Available |
Full Name | Michelle Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 106 Burr Ave, Pauls Valley, 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 |
---|---|---|---|
1144741661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 86745 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Good Shepherd Community Clinic, Inc. | 4284936337 | 10 |
Entity Name | Good Shepherd Community Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285010413 PECOS PAC ID: 4284936337 Enrollment ID: O20160106000675 |
Mailing Address | Practice Location Address |
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Michelle Martin, 106 Burr Ave, Pauls Valley, OK 73075-3848 Ph: () - | Michelle Martin, 106 Burr Ave, Pauls Valley, OK 73075-3848 Ph: (405) 238-4633 |
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 | |
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 |