| Jenks Family Physicians | |
|
615 E Main St Jenks OK 74037-4138 | |
| (918) 299-8080 | |
| (918) 298-2838 |
| Full Name | Jenks Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 615 E Main St, Jenks, Oklahoma |
| Authorized Official Name and Position | Brian H Lewis (PHYSICIAN) |
| Authorized Official Contact | 9182998080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenks Family Physicians 615 E Main St Jenks OK 74037-4138 Ph: (918) 299-8080 | Jenks Family Physicians 615 E Main St Jenks OK 74037-4138 Ph: (918) 299-8080 |
| NPI Number | 1962628339 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729020367 |
|---|---|
| Medicare Enrollment ID | O20050524001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962628339 | NPI | - | NPPES |
| 200058160B | Medicaid | OK | |
| 200058160C | Other | OK | O-EPIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
| Provider Name | Andrew Driscoll Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154394062 PECOS PAC ID: 4082515580 Enrollment ID: I20040116001101 |
| Provider Name | Brent A Wakefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447334206 PECOS PAC ID: 5698714186 Enrollment ID: I20050524001384 |
| Provider Name | Brian H Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588748339 PECOS PAC ID: 9133168628 Enrollment ID: I20050602001203 |
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Creek Nation Hospital & Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Riverwalk Ter, Jenks, OK 74037 Phone: 918-296-5515 | |
Melinda Dandridge Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E Main St, Jenks, OK 74037 Phone: 918-298-5438 |