| Family Matters Medical Clinic Llc | |
|
114 S Dean A Mcgee Ave Wynnewood OK 73098-7822 | |
| (405) 276-3553 | |
| Not Available |
| Full Name | Family Matters Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 S Dean A Mcgee Ave, Wynnewood, Oklahoma |
| Authorized Official Name and Position | Alisha Jo Whitebird (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 4052763553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Matters Medical Clinic Llc 114 S Dean A Mcgee Ave Wynnewood OK 73098-7822 Ph: (405) 276-3553 | Family Matters Medical Clinic Llc 114 S Dean A Mcgee Ave Wynnewood OK 73098-7822 Ph: (405) 276-3553 |
| NPI Number | 1598475733 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 4981078391 |
|---|---|
| Medicare Enrollment ID | O20230327002187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598475733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Alisha Jo Whitebird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124619879 PECOS PAC ID: 1254724966 Enrollment ID: I20230317000346 |
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