Ms Diane Dewbre, GNP-BC | |
128 W Main St, Purcell, OK 73080-4220 | |
(405) 527-4704 | |
(405) 427-5976 |
Full Name | Ms Diane Dewbre |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 128 W Main St, Purcell, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417131038 | NPI | - | NPPES |
20053303A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 547215 (Texas) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 49456 (Oklahoma) | Primary |
Entity Name | Wellness Clinic And Medical Spa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851717797 PECOS PAC ID: 1153545769 Enrollment ID: O20140620000624 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Dewbre, GNP-BC 128 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-4704 | Ms Diane Dewbre, GNP-BC 128 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-4704 |
Debra Ann Degering, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1438 Hardcastle Blvd, Purcell, OK 73080 Phone: 405-527-4700 | |
Tracy Parker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2320 N 9th Ave, Purcell, OK 73080 Phone: 405-912-3930 Fax: 405-912-3931 | |
Jared Nile Seth Keck, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21374 Bryant Ave, Purcell, OK 73080 Phone: 405-990-8624 | |
Mrs. Melinda G Baird, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 N Green Ave, Purcell, OK 73080 Phone: 405-527-6524 Fax: 405-527-6963 | |
Shea Cross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 W Main St, Purcell, OK 73080 Phone: 405-527-4704 Fax: 405-527-5976 | |
Wendy Wilbur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 Crown Heights Ln, Purcell, OK 73080 Phone: 405-215-6644 |