| Choctaw Family Medicine & Aesthetics | |
|
15809 Ne 23rd St Choctaw OK 73020-8428 | |
| (405) 390-9600 | |
| (405) 390-9400 |
| Full Name | Choctaw Family Medicine & Aesthetics |
|---|---|
| Speciality | Family Medicine |
| Location | 15809 Ne 23rd St, Choctaw, Oklahoma |
| Authorized Official Name and Position | Lorrie A Carpenter (ADMINISTRATOR) |
| Authorized Official Contact | 4058087765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Family Medicine & Aesthetics Po Box 10 Choctaw OK 73020-0010 Ph: (405) 390-9600 | Choctaw Family Medicine & Aesthetics 15809 Ne 23rd St Choctaw OK 73020-8428 Ph: (405) 390-9600 |
| NPI Number | 1124108378 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 02/21/2022 |
| Medicare PECOS PAC ID | 4587682356 |
|---|---|
| Medicare Enrollment ID | O20051110000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124108378 | NPI | - | NPPES |
| I00757 | Other | MEDICARE UPIN - BRUCE STAFFORD, D.O. | |
| 200100040A | Medicaid | OK | |
| 249341123 | Other | MEDICARE INDIVIDUAL P-TAN - CARY CARPENTER M.D. | |
| 1861479255 | Other | NPI - BRUCE STAFFORD, D.O. | |
| 241409404 | Other | MEDICARE INDIVIDUAL P-TAN FOR BRUCE STAFFORD, D.O. | |
| 44646 | Other | OK | BLUE LINCS - BRUCE STAFFORD, DO |
| 1053311548 | Other | NPI - CARY CARPENTER M.D. | |
| 1164597860 | Other | NPI - PHYSICIAN ASSISTANT BILLY SANDERS | |
| 446-46-7483-001 | Other | OK | BCBS-BRUCE STAFFORD, DO |
| 900522085 | Other | MEDICARE GROUP P-TAN --CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE | |
| 100113820E | Medicaid | OK | |
| 1861479255 | Other | OK | NPI-BRUCE STAFFORD, DO - |
| 444745244-001 | Other | OK | CARY CARPENTER -BCBS |
| 100113820B | Medicaid | OK | |
| F43282 | Other | MEDICARE UPIN - CARY CARPENTER M.D. | |
| 100113820D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18237 (Oklahoma) | Primary |
| Provider Name | Cary L Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311548 PECOS PAC ID: 3375561145 Enrollment ID: I20100519000859 |
Healthcare Express, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14321 Ne 23rd Street, Choctaw, OK 73020 Phone: 405-342-0255 | |
Choctaw After-hours Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15803 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 | |
Ico Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1664 S Choctaw Rd Ste 101, Choctaw, OK 73020 Phone: 405-281-2144 | |
Bruce A. Stafford, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-4280 Fax: 405-390-4282 | |
Kelley Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13190 Ne 23rd Street, Choctaw, OK 73020 Phone: 405-769-7201 Fax: 405-769-4034 | |
Ruffin Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1940 Harper St, Choctaw, OK 73020 Phone: 405-281-6065 Fax: 405-281-6068 |