Mr Brack Allen Guthrie, APRN | |
109 S Main St, Wetumka, OK 74883-4015 | |
(405) 452-5400 | |
(405) 452-3000 |
Full Name | Mr Brack Allen Guthrie |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 109 S Main St, Wetumka, Oklahoma |
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 |
---|---|---|---|
1639643166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 64624 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Central Oklahoma Family Health Center, Inc. | 3779643994 | 11 |
Entity Name | Rajesh Kumar Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871730333 PECOS PAC ID: 1153488135 Enrollment ID: O20090318000296 |
Entity Name | East Central Oklahoma Family Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316196546 PECOS PAC ID: 3779643994 Enrollment ID: O20090330000363 |
Entity Name | Gigi J Toma Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083746911 PECOS PAC ID: 9830376326 Enrollment ID: O20110609000611 |
Entity Name | Pankaj Baluja Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982072914 PECOS PAC ID: 6608177837 Enrollment ID: O20151214000790 |
Entity Name | Generations Community Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821517772 PECOS PAC ID: 4385972744 Enrollment ID: O20190822002248 |
Entity Name | Total Wound Care Of Oklahoma Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972269033 PECOS PAC ID: 1254724081 Enrollment ID: O20220131001299 |
Mailing Address | Practice Location Address |
---|---|
Mr Brack Allen Guthrie, APRN 109 S Main St, Wetumka, OK 74883-4015 Ph: (405) 452-5400 | Mr Brack Allen Guthrie, APRN 109 S Main St, Wetumka, OK 74883-4015 Ph: (405) 452-5400 |
Mrs. Steffanee Renee Edwards, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St, Wetumka, OK 74883 Phone: 405-452-5400 Fax: 405-452-3000 | |
Christopher Alan Hitchcock, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 S Main St, Wetumka, OK 74883 Phone: 405-452-5400 | |
Stephane Lynn Judd, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St, Wetumka, OK 74883 Phone: 405-452-5400 Fax: 405-452-3000 | |
Christie R. Carpenter, APRN-FNP-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 South Main Street, Wetumka, OK 74883 Phone: 405-452-5400 Fax: 405-452-3000 | |
Rebecca Helms, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Broadway St, Box 236, Wetumka, OK 74883 Phone: 405-452-3151 Fax: 405-452-3310 |