| Michael Robinson Medical Clinic, Llc | |
|
1900 W. 2nd St Suite A Elk City OK 73644 | |
| (580) 303-9060 | |
| (580) 303-9009 |
| Full Name | Michael Robinson Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 W. 2nd St, Elk City, Oklahoma |
| Authorized Official Name and Position | Michael Lynn Robinson (MD/OWNER) |
| Authorized Official Contact | 5803039060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Robinson Medical Clinic, Llc 1900 W 2nd St Ste A Elk City OK 73644-4328 Ph: (580) 303-9060 | Michael Robinson Medical Clinic, Llc 1900 W. 2nd St Suite A Elk City OK 73644 Ph: (580) 303-9060 |
| NPI Number | 1649521568 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 2365689593 |
|---|---|
| Medicare Enrollment ID | O20130508000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649521568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael L Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083879555 PECOS PAC ID: 5799815403 Enrollment ID: I20100607000488 |
| Provider Name | Katie J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441775 PECOS PAC ID: 5597087486 Enrollment ID: I20141203002423 |
| Provider Name | Jacob Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134629405 PECOS PAC ID: 4082978143 Enrollment ID: I20180426001863 |
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