Ltcnp is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Crescent, Oklahoma. The current practice location for Ltcnp is 14355 W Crescent Dover Rd, Crescent, Oklahoma. For appointments, you can reach them via phone at
(405) 650-5561. The mailing address for Ltcnp is 14355 W Crescent Dover Rd, Crescent, Oklahoma and phone number is () -.
Ltcnp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1154030724. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(405) 650-5561.
Primary Care Clinic Profile
| Full Name | Ltcnp |
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| Speciality | Clinic/Center |
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| Location | 14355 W Crescent Dover Rd, Crescent, Oklahoma |
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| Authorized Official Name and Position | Shannon Dunn (OWNER) |
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| Authorized Official Contact | 4055605561 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ltcnp
14355 W Crescent Dover Rd
Crescent
OK 73028
Ph: () - | Ltcnp
14355 W Crescent Dover Rd
Crescent
OK 73028
Ph: (405) 650-5561 |
NPI Details:
| NPI Number | 1154030724 |
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| Provider Enumeration Date | 11/22/2022 |
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| Last Update Date | 11/22/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7911362645 |
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| Medicare Enrollment ID | O20230502000405 |
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Medical Identifiers
Medical identifiers for Ltcnp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154030724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ltcnp acts as a billing entity for following providers:
| Provider Name | Shannon Dunn |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1972272490
PECOS PAC ID: 2668731720
Enrollment ID: I20211108000600 |
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