| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 N Broadway, Checotah, Oklahoma |
| Authorized Official Name and Position | Melinda Kay Schuering (PROVIDER (APRN)/OWNER) |
| Authorized Official Contact | 9186175262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
216 Sw 4th St Checotah OK 74426-3612 Ph: (918) 617-5262 | 213 N Broadway Checotah OK 74426 Ph: (918) 617-5262 |
| NPI Number | 1053984518 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/23/2021 |
| Medicare PECOS PAC ID | 6305235565 |
|---|---|
| Medicare Enrollment ID | O20220214001927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053984518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Jennifer Danielle Gouge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023590676 PECOS PAC ID: 1254675069 Enrollment ID: I20181205002656 |
| Provider Name | Ernest K Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740751445 PECOS PAC ID: 0345573119 Enrollment ID: I20190610002652 |
| Provider Name | Melinda K Schuering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306455613 PECOS PAC ID: 0840689006 Enrollment ID: I20220215001248 |
| Provider Name | Dena J Lamons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073062386 PECOS PAC ID: 3678854619 Enrollment ID: I20220216001283 |
| Provider Name | Karli Ophern Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013792894 PECOS PAC ID: 5193170702 Enrollment ID: I20231017000369 |
| Provider Name | Juliette Kross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982386298 PECOS PAC ID: 5890143291 Enrollment ID: I20231125000163 |
| Provider Name | Amy Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093383457 PECOS PAC ID: 9032659206 Enrollment ID: I20240913003555 |
| Provider Name | Shelby Hatridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215770524 PECOS PAC ID: 2668911082 Enrollment ID: I20241011001195 |
Muskogee Medical Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 W Gentry Ave Ste A, Checotah, OK 74426 Phone: 918-686-0400 | |
Clayborn Family Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 N Broadway St, Checotah, OK 74426 Phone: 918-973-2372 Fax: 877-991-9307 | |
Stigler Health And Wellness Center, Checotah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Broadway St, Checotah, OK 74426 Phone: 918-473-0048 Fax: 918-473-0076 | |
Payne & Rice Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Sw 2nd St, Checotah, OK 74426 Phone: 918-473-2278 Fax: 918-473-5999 |