Niki S Lewis-wyatt, PAC is a
Physician Assistant - Medical based in Cherokee, Oklahoma. Niki S Lewis-wyatt is licensed to practice in Oklahoma (license number 758) and her current practice location is
221 S Grand Ave, Cherokee, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 307-6263.
NPI number for Niki S Lewis-wyatt is 1922008572 and her current mailing address is 221 S Grand Ave, Cherokee, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922008572.
Provider's Profile
Full Name | Niki S Lewis-wyatt |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 221 S Grand Ave, Cherokee, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922008572
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 09/19/2021
Medical Identifiers
Medical identifiers for Niki S Lewis-wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922008572 | NPI | - | NPPES |
100132420C | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 758 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niki S Lewis-wyatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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