| Muskogee Family Practice | |
|
209 S 36th St Muskogee OK 74401-5043 | |
| (918) 681-7554 | |
| Not Available |
| Full Name | Muskogee Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 209 S 36th St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Monica Hoog (OWNER) |
| Authorized Official Contact | 9186817554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muskogee Family Practice 209 S 36th St Muskogee OK 74401-5043 Ph: (918) 681-7554 | Muskogee Family Practice 209 S 36th St Muskogee OK 74401-5043 Ph: (918) 681-7554 |
| NPI Number | 1629766407 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 5294177341 |
|---|---|
| Medicare Enrollment ID | O20240521004081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629766407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Monica E Hoog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699230961 PECOS PAC ID: 8628307261 Enrollment ID: I20190909000401 |
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