Medacy Health Primary Care | |
2328 N Interstate Dr Norman OK 73072-2991 | |
(405) 857-2179 | |
(405) 310-7677 |
Full Name | Medacy Health Primary Care |
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Speciality | Clinic/Center |
Location | 2328 N Interstate Dr, Norman, Oklahoma |
Authorized Official Name and Position | Morgan Segrest (OWNER) |
Authorized Official Contact | 4056646225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medacy Health Primary Care 7201 Se 164th St Norman OK 73071-2791 Ph: (405) 664-6225 | Medacy Health Primary Care 2328 N Interstate Dr Norman OK 73072-2991 Ph: (405) 857-2179 |
NPI Number | 1215704192 |
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Provider Enumeration Date | 12/11/2023 |
Last Update Date | 01/23/2024 |
Medicare PECOS PAC ID | 2264877463 |
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Medicare Enrollment ID | O20240227004278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215704192 | NPI | - | NPPES |
Provider Name | Morgan Leah Segrest |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326573692 PECOS PAC ID: 7810253994 Enrollment ID: I20171106001143 |
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