| Coweta Medical Group,p.l.l.c. | |
|
28622 E 141st St So. Coweta OK 74429 | |
| (918) 486-7425 | |
| Not Available |
| Full Name | Coweta Medical Group,p.l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 28622 E 141st St So., Coweta, Oklahoma |
| Authorized Official Name and Position | Jeff Barentine (OWNER) |
| Authorized Official Contact | 9184867425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coweta Medical Group,p.l.l.c. Po Box 1030 28622 E 141st St So. Coweta OK 74429 Ph: (918) 486-7425 | Coweta Medical Group,p.l.l.c. 28622 E 141st St So. Coweta OK 74429 Ph: (918) 486-7425 |
| NPI Number | 1316183536 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 01/07/2009 |
| Medicare PECOS PAC ID | 2466501069 |
|---|---|
| Medicare Enrollment ID | O20090529000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316183536 | 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 | Bradley T Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023058757 PECOS PAC ID: 2062403371 Enrollment ID: I20040524000871 |
| Provider Name | Hazel L Reel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861718876 PECOS PAC ID: 0446384937 Enrollment ID: I20100819000606 |
| Provider Name | Courtney Elizabeth Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285292003 PECOS PAC ID: 0244560563 Enrollment ID: I20190927003001 |
Dr. Jerry A. Nelms D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 S Broadway, Coweta, OK 74429 Phone: 918-486-5564 Fax: 918-486-3284 | |
Creek Nation Behavioral Health/substance Abuse Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31870 E. Hwy 51, Coweta, OK 74429 Phone: 918-279-3473 | |
Koweta Indian Health Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31870 East Highway 51, Coweta, OK 74429 Phone: 918-279-3200 | |
Arkansas Verdigris Valley Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607 S Broadway, Coweta, OK 74429 Phone: 918-486-5564 | |
Drayer Physical Therapy Oklahoma Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11319 S State Highway 51 Ste 900, Coweta, OK 74429 Phone: 918-887-8112 Fax: 918-887-8114 | |
Osu-aj Warren Clinic Pediatrics Coweta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30011 E State Highway 51, Coweta, OK 74429 Phone: 918-561-8306 Fax: 918-561-5747 |