Fomg Wound Care is a
Clinic/center based in Duncan, Oklahoma. Fomg Wound Care is licensed to practice in * (Not Available) (license number ) and their current practice location is
2815 W Elk Ave, Duncan, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(580) 252-3400.
NPI number for Fomg Wound Care is 1073032660 and their current mailing address is 2100 W Iowa Ave, Chickasha, Oklahoma. Fomg Wound Care
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073032660.
Healthcare Provider's Profile
| Full Name | Fomg Wound Care |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 2815 W Elk Ave, Duncan, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073032660
- Provider Enumeration Date: 09/14/2017
- Last Update Date: 09/15/2017
Medical Identifiers
Medical identifiers for Fomg Wound Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073032660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 239 (Oklahoma) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | 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. Fomg Wound Care 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 |
|---|
Fomg Wound Care
2100 W Iowa Ave,
Chickasha, OK 73018-2736
Ph: (405) 224-2100 | Fomg Wound Care
2815 W Elk Ave,
Duncan, OK 73533-1517
Ph: (580) 252-3400 |
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