Mr Barack Austine Otieno, FNP-BC | |
105 Harris Ave, Red Oak, TX 75154-4216 | |
(866) 389-2727 | |
Not Available |
Full Name | Mr Barack Austine Otieno |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 105 Harris Ave, Red Oak, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598219222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP131642 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Podiatry Associates Of Texas | 5294053625 | 4 |
Minuteclinic Diagnostic Of Texas Llc | 7416039177 | 272 |
Entity Name | Minuteclinic Diagnostic Of Texas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113 |
Entity Name | Podiatry Associates Of Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871998534 PECOS PAC ID: 5294053625 Enrollment ID: O20150416000056 |
Entity Name | Minuteclinic Telehealth Services Of Texas Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922564301 PECOS PAC ID: 8921437427 Enrollment ID: O20200404000028 |
Entity Name | Texas Minor Emergency Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588266647 PECOS PAC ID: 2466867056 Enrollment ID: O20210211002351 |
Mailing Address | Practice Location Address |
---|---|
Mr Barack Austine Otieno, FNP-BC 5116 Santa Rosa Dr, Arlington, TX 76001-3118 Ph: (866) 389-2727 | Mr Barack Austine Otieno, FNP-BC 105 Harris Ave, Red Oak, TX 75154-4216 Ph: (866) 389-2727 |
Oredunni Oguntodu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Garden Grove Ln, Red Oak, TX 75154 Phone: 817-323-0900 | |
Ashley Ellen Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Ovilla Rd Ste 100, Red Oak, TX 75154 Phone: 469-800-9200 | |
Kayla Meyer, APRN- CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 E Ovilla Rd Ste 4, Red Oak, TX 75154 Phone: 972-617-6660 | |
Christine Berger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Plaza Dr, Red Oak, TX 75154 Phone: 972-515-8700 Fax: 214-764-8558 | |
Erica Elguea Diaz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Plaza Dr, Red Oak, TX 75154 Phone: 972-505-8700 | |
Kelsey Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 E Ovilla Rd Ste 4, Red Oak, TX 75154 Phone: 972-617-6660 | |
Charles Adison Chittamai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Ovilla Rd, Red Oak, TX 75154 Phone: 469-800-9200 |