Mr William King Wyatt, APRN | |
14311 E 126th St N, Collinsville, OK 74021-4130 | |
(918) 640-4803 | |
Not Available |
Full Name | Mr William King Wyatt |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 14311 E 126th St N, Collinsville, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407542293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 78990 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 212533 (Oklahoma) | Primary |
Entity Name | Pawhuska Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174521991 PECOS PAC ID: 7012906548 Enrollment ID: O20040510001389 |
Entity Name | Nes Oklahoma, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516 |
Entity Name | Hospitalist Medicine Physicians Of Oklahoma Tcs Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043932486 PECOS PAC ID: 7315315454 Enrollment ID: O20221122001255 |
Mailing Address | Practice Location Address |
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Mr William King Wyatt, APRN 14311 E 126th St N, Collinsville, OK 74021-4130 Ph: (918) 640-4803 | Mr William King Wyatt, APRN 14311 E 126th St N, Collinsville, OK 74021-4130 Ph: (918) 640-4803 |
Mrs. Jaime Watkins, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11595 E 116th St N Ste A, Collinsville, OK 74021 Phone: 918-973-5443 Fax: 918-771-2741 | |
Mrs. Hilary Dawn-anthony Nicholson, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W Main St, Ste 112, Collinsville, OK 74021 Phone: 918-553-8613 Fax: 918-371-2332 | |
Bridget Suzanne Wyatt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14311 E 126th St N, Collinsville, OK 74021 Phone: 918-853-3242 | |
Jennifer Sue Sassin, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W Main St # 112, Collinsville, OK 74021 Phone: 918-553-8613 | |
Preston Hassell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1609 W Broadway St, Collinsville, OK 74021 Phone: 918-864-5475 | |
Jan Byerly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-938-0040 Fax: 918-938-0056 |