| Lotus Medical Llc | |
|
219 East Choctaw Sallisaw OK 74955 | |
| () - | |
| Not Available |
| Full Name | Lotus Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 219 East Choctaw, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Kelli Thompson (OWNER) |
| Authorized Official Contact | 9187214989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Medical Llc Po Box 488 Sallisaw OK 74955 Ph: (918) 721-4989 | Lotus Medical Llc 219 East Choctaw Sallisaw OK 74955 Ph: () - |
| NPI Number | 1649851932 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 1951799154 |
|---|---|
| Medicare Enrollment ID | O20211020001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649851932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Scott P Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501470 PECOS PAC ID: 0244201390 Enrollment ID: I20040803001120 |
| Provider Name | Ryan A Pitts |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356314603 PECOS PAC ID: 0941225023 Enrollment ID: I20051129000241 |
| Provider Name | Jeffrey H Schimandle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1952724494 PECOS PAC ID: 2466675590 Enrollment ID: I20140519001125 |
| Provider Name | Vanessa G Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740755503 PECOS PAC ID: 5698011906 Enrollment ID: I20190108001299 |
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