Mr Erron Cody Proctor, PAC | |
527 W 3rd St, Konawa, OK 74849-1415 | |
(580) 925-3286 | |
(580) 925-2362 |
Full Name | Mr Erron Cody Proctor |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 20 Years |
Location | 527 W 3rd St, Konawa, 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 |
---|---|---|---|
1427067859 | NPI | - | NPPES |
200072810A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 1410 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ada | Ada, OK | Hospital |
Chickasaw Nation Medical Center | Ada, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center | 8426957523 | 219 |
Central Oklahoma Family Medical Center Inc | 9931189685 | 49 |
Mailing Address | Practice Location Address |
---|---|
Mr Erron Cody Proctor, PAC Po Box 358, 527 West 3rd St, Konawa, OK 74849 Ph: (580) 925-3286 | Mr Erron Cody Proctor, PAC 527 W 3rd St, Konawa, OK 74849-1415 Ph: (580) 925-3286 |
Tina Marie Wainwright, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149 | |
William A Mccullough, PA-C, MCMSC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 527 W 3rd St, Konawa, OK 74849 Phone: 580-925-3286 Fax: 580-925-9149 |