| Nerve Renewal Group Llc | |
|
3705 Nw 63rd St Ste 101 Oklahoma City OK 73116-1937 | |
| (405) 495-9270 | |
| Not Available |
| Full Name | Nerve Renewal Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3705 Nw 63rd St Ste 101, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tim Bales (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4054959270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nerve Renewal Group Llc 3908 N Peniel Ave Ste 450 Bethany OK 73008-3402 Ph: (405) 495-7391 | Nerve Renewal Group Llc 3705 Nw 63rd St Ste 101 Oklahoma City OK 73116-1937 Ph: (405) 495-9270 |
| NPI Number | 1538839832 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 7416346507 |
|---|---|
| Medicare Enrollment ID | O20211110003213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538839832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Taylor Lancaster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760521645 PECOS PAC ID: 3274686373 Enrollment ID: I20120924000520 |
| Provider Name | Stacey Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730582701 PECOS PAC ID: 5799007514 Enrollment ID: I20141205001965 |
| Provider Name | Chelsea Lauren Fairleigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386176618 PECOS PAC ID: 3072930585 Enrollment ID: I20210805001213 |
| Provider Name | Linda Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215552658 PECOS PAC ID: 2264887322 Enrollment ID: I20231009003245 |
| Provider Name | Ivy R Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296042 PECOS PAC ID: 5092158212 Enrollment ID: I20240205002890 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |