Tressa Antionette Matchen, ARNP-CNP | |
Clinic At 410 Pllc, 410 Hwy 70 Kingston, Ok 73439, Kingston, OK 73439 | |
(580) 565-9975 | |
(888) 241-2340 |
Full Name | Tressa Antionette Matchen |
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Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | Clinic At 410 Pllc, Kingston, 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 |
---|---|---|---|
1053774794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71860 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mays Housecall Home Health Of Ada, Llc | Ada, OK | Home health agency |
Genesis Healthcare,llc | Durant, OK | Home health agency |
Integris Marshall County Medical Center | Madill, OK | Hospital |
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Alliancehealth Durant | Durant, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marshall County Hma, Llc | 5193985653 | 10 |
Entity Name | Marshall County Hma, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356874374 PECOS PAC ID: 5193985653 Enrollment ID: O20120409000632 |
Mailing Address | Practice Location Address |
---|---|
Tressa Antionette Matchen, ARNP-CNP Po Box 1118, Kingston, OK 73439-1118 Ph: (580) 565-9975 | Tressa Antionette Matchen, ARNP-CNP Clinic At 410 Pllc, 410 Hwy 70 Kingston, Ok 73439, Kingston, OK 73439 Ph: (580) 565-9975 |
Glenda Gene Cross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 N Main St, Kingston, OK 73439 Phone: 580-564-7885 Fax: 580-564-7902 | |
Mrs. Addie Beth Gratz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 N Main St, Kingston, OK 73439 Phone: 580-564-0500 Fax: 580-564-0250 | |
Tammy Lynn Williams, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 N Main, Kingston, OK 73439 Phone: 405-642-1747 Fax: 405-692-4390 |