| Bearskin Health Clinic | |
|
1 Turtle Drive Wyandotte OK 74370 | |
| (918) 678-2282 | |
| (918) 678-2759 |
| Full Name | Bearskin Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Turtle Drive, Wyandotte, Oklahoma |
| Authorized Official Name and Position | Kelly Friend (HEALTH DIRECTOR) |
| Authorized Official Contact | 9186782282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bearskin Health Clinic 1 Turtle Drive Wyandotte OK 74370 Ph: (918) 678-2282 | Bearskin Health Clinic 1 Turtle Drive Wyandotte OK 74370 Ph: (918) 678-2282 |
| NPI Number | 1124185517 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 6406748367 |
|---|---|
| Medicare Enrollment ID | O20040325001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124185517 | NPI | - | NPPES |
| 100707880A | Medicaid | OK | |
| 100732740B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Vicky L Weidner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770540221 PECOS PAC ID: 4284535394 Enrollment ID: I20040120000660 |
| Provider Name | Douglas Gene Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578543153 PECOS PAC ID: 7719896646 Enrollment ID: I20040503000855 |
| Provider Name | Zachary T Bechtol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124092960 PECOS PAC ID: 0749200640 Enrollment ID: I20051206000648 |
| Provider Name | Jason M Fuser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235222845 PECOS PAC ID: 5294822318 Enrollment ID: I20071106000291 |
| Provider Name | Jamie G Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508977182 PECOS PAC ID: 3476640590 Enrollment ID: I20071106000316 |
| Provider Name | Jequita D Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255511309 PECOS PAC ID: 3476622267 Enrollment ID: I20080826000700 |
| Provider Name | Morris S Glover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447416862 PECOS PAC ID: 6608933080 Enrollment ID: I20090330000695 |
| Provider Name | Una L Mcelhany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073817482 PECOS PAC ID: 0840475356 Enrollment ID: I20110427000467 |
| Provider Name | Jarrett W Pannell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518533603 PECOS PAC ID: 9335549179 Enrollment ID: I20210615002886 |
| Provider Name | Rhonda R Stork |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124357447 PECOS PAC ID: 4789712092 Enrollment ID: I20211130000521 |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7 S 1st St, Wyandotte, OK 74370 Phone: 620-231-9873 |