| Niki S Lewis-wyatt, PAC | |
| 221 S Grand Ave, Cherokee, OK 73728 | |
| (580) 307-6263 | |
| (580) 603-8602 | 
| Full Name | Niki S Lewis-wyatt | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 221 S Grand Ave, Cherokee, Oklahoma | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922008572 | NPI | - | NPPES | 
| 100132420C | Medicaid | OK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 758 (Oklahoma) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Niki S Lewis-wyatt, PAC 221 S Grand Ave, Cherokee, OK 73728-2029 Ph: (580) 307-6263 | Niki S Lewis-wyatt, PAC 221 S Grand Ave, Cherokee, OK 73728 Ph: (580) 307-6263 | 
| Lois L Schreiner, PA - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 S Oklahoma Ave, Cherokee, OK 73728 Phone: 580-596-2800 Fax: 580-596-2805 | |
| Taylor Renea Carson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 S Oklahoma Ave, Cherokee, OK 73728 Phone: 580-596-2800 Fax: 580-596-2805 |