| Mccammond Family Medicine Pllc | |
|
20213 Ne 23rd St Ste B1 Harrah OK 73045-9144 | |
| (405) 590-2032 | |
| Not Available |
| Full Name | Mccammond Family Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20213 Ne 23rd St Ste B1, Harrah, Oklahoma |
| Authorized Official Name and Position | Jennifer Mccammond (OWNER/PROVIDER) |
| Authorized Official Contact | 4053479017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccammond Family Medicine Pllc Po Box 156 Harrah OK 73045-0156 Ph: (405) 347-9017 | Mccammond Family Medicine Pllc 20213 Ne 23rd St Ste B1 Harrah OK 73045-9144 Ph: (405) 590-2032 |
| NPI Number | 1033798277 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 9638572530 |
|---|---|
| Medicare Enrollment ID | O20210729003597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033798277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jennifer Laine Mccammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043876071 PECOS PAC ID: 7214266196 Enrollment ID: I20210729003692 |
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