| Next Generation Family Medical Clinic, Llc | |
|
1102 W Cherokee St Ste A Wagoner OK 74467-4600 | |
| (918) 201-4502 | |
| (918) 201-4503 |
| Full Name | Next Generation Family Medical Clinic, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1102 W Cherokee St Ste A, Wagoner, Oklahoma |
| Authorized Official Name and Position | Michele Bucholtz (PRESIDENT) |
| Authorized Official Contact | 9182014502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Generation Family Medical Clinic, Llc 1102 W Cherokee St Ste A Wagoner OK 74467-4600 Ph: (918) 201-4502 | Next Generation Family Medical Clinic, Llc 1102 W Cherokee St Ste A Wagoner OK 74467-4600 Ph: (918) 201-4502 |
| NPI Number | 1548646052 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548646052 | NPI | - | NPPES |
| 1275754780 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4383 (Oklahoma) | Primary |
Casey Hanna Md Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Cherokee St Ste E, Wagoner, OK 74467 Phone: 918-485-5188 Fax: 915-485-5402 | |
John Belk Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 580-647-6594 | |
Wagoner Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Cherokee St Ste E, Wagoner, OK 74467 Phone: 918-485-1877 Fax: 918-485-0535 | |
Jillian Riley D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Cherokee St, Suite D, Wagoner, OK 74467 Phone: 918-406-2567 Fax: 918-742-1103 | |
Cmg Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 S Dewey Ave, Wagoner, OK 74467 Phone: 918-485-9696 Fax: 918-485-1701 | |
Jackson Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E Cherokee St, Wagoner, OK 74467 Phone: 918-485-5591 Fax: 918-485-5758 | |
Farmer Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1202 W Cherokee St Ste H, Wagoner, OK 74467 Phone: 918-485-7020 Fax: 918-485-7023 |