| Reggie Pennypacker, Aprn-cnp, Pllc | |
|
3125 Brookwood Ave Duncan OK 73533-1362 | |
| (580) 786-4018 | |
| (580) 786-4018 |
| Full Name | Reggie Pennypacker, Aprn-cnp, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3125 Brookwood Ave, Duncan, Oklahoma |
| Authorized Official Name and Position | Reggie Darnell Pennypacker (NURSE PRACTITIONER) |
| Authorized Official Contact | 5806566661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reggie Pennypacker, Aprn-cnp, Pllc 3125 Brookwood Ave Duncan OK 73533-1362 Ph: (580) 786-4018 | Reggie Pennypacker, Aprn-cnp, Pllc 3125 Brookwood Ave Duncan OK 73533-1362 Ph: (580) 786-4018 |
| NPI Number | 1013578954 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 08/26/2024 |
| Medicare PECOS PAC ID | 2668708371 |
|---|---|
| Medicare Enrollment ID | O20190801001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013578954 | NPI | - | NPPES |
| 1275960304 | Other | OK | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Reggie Darnell Pennypacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275960304 PECOS PAC ID: 6709822349 Enrollment ID: I20131126000956 |
| Provider Name | Tonya Bardsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627387 PECOS PAC ID: 1658607650 Enrollment ID: I20190730000331 |
| Provider Name | Jeffrey Keele |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548906217 PECOS PAC ID: 7012449762 Enrollment ID: I20241018001477 |
Solutions Practice Management Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2465 N Whisenant Dr Ste 301, Duncan, OK 73533 Phone: 580-251-8212 Fax: 580-251-8842 | |
Healing Hands Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Jackie Rd, Duncan, OK 73533 Phone: 580-255-6100 Fax: 580-255-6102 | |
Judith M. Gilbreth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Harville Rd, Duncan, OK 73533 Phone: 580-252-1918 Fax: 580-252-2333 | |
Oscar Morales Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 Brookwood Ave, Suite B, Duncan, OK 73533 Phone: 580-252-0553 Fax: 580-252-0504 | |