Taylor Renee Russell, | |
1202 W Cherokee St Ste E, Wagoner, OK 74467-4629 | |
(918) 485-1877 | |
Not Available |
Full Name | Taylor Renee Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1202 W Cherokee St Ste E, Wagoner, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881271864 | NPI | - | NPPES |
200979620A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201054 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wagoner Community Hospital | Wagoner, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wagoner Hospital Authority | 0042217531 | 16 |
Entity Name | Wagoner Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095 |
Mailing Address | Practice Location Address |
---|---|
Taylor Renee Russell, 1202 W Cherokee St Ste E, Wagoner, OK 74467-4629 Ph: (918) 485-1877 | Taylor Renee Russell, 1202 W Cherokee St Ste E, Wagoner, OK 74467-4629 Ph: (918) 485-1877 |
Tabatha Truelove, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 210-685-2532 | |
Virginia D Lindsey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 N Pierce Ave, Wagoner, OK 74467 Phone: 918-485-3022 Fax: 918-425-2799 | |
Ernest Kaara Maina, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 918-509-4440 Fax: 918-509-4467 | |
Hazel Louise Reel, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1317 S Dewey Ave, Wagoner, OK 74467 Phone: 918-485-9696 Fax: 918-485-1701 | |
Juliette Kross, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1520 Sw 1st St, Wagoner, OK 74467 Phone: 918-727-2790 | |
Mrs. Rose Marie Mcmahan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27546 E 705 Rd, Wagoner, OK 74467 Phone: 918-485-6107 Fax: 918-485-6106 |