Isaac Stacy, | |
1 Choctaw Way, Talihina, OK 74571-2022 | |
(918) 567-7000 | |
Not Available |
Full Name | Isaac Stacy |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1 Choctaw Way, Talihina, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306520929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6378 (Oklahoma) | Primary |
Provider Name | Choctaw Nation Of Oklahoma |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Isaac Stacy, 1 Choctaw Way, Talihina, OK 74571-2022 Ph: () - | Isaac Stacy, 1 Choctaw Way, Talihina, OK 74571-2022 Ph: (918) 567-7000 |
Miss Roberta I Neely, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-423-8440 Fax: 918-423-6889 | |
Jessica Arlene Vaughn, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7046 Fax: 918-567-7113 | |
Christy L West, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 Fax: 918-567-7113 | |
Mr. Richard T. Brantley Sr., RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Choctaw Way, Attn: Physical Therapy, Talihina, OK 74571 Phone: 918-567-7000 Fax: 918-567-7119 | |
Pepito V Ramos, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7000 Fax: 918-567-7113 | |
Mrs. Suzan Michelle Abeyta, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Choctaw Way, Talihina, OK 74571 Phone: 918-567-7046 Fax: 918-567-7119 |