| Robinson Medical Clinic West, Llc | |
|
1900 W 2nd St Ste D Elk City OK 73644-4328 | |
| (580) 303-9060 | |
| (877) 592-0771 |
| Full Name | Robinson Medical Clinic West, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 W 2nd St Ste D, Elk City, Oklahoma |
| Authorized Official Name and Position | Lindsay Kay Robinson (OFFICE MANAGER) |
| Authorized Official Contact | 5803039060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robinson Medical Clinic West, Llc 1900 W 2nd St Ste D Elk City OK 73644-4328 Ph: (580) 303-9060 | Robinson Medical Clinic West, Llc 1900 W 2nd St Ste D Elk City OK 73644-4328 Ph: (580) 303-9060 |
| NPI Number | 1417565433 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 6002234929 |
|---|---|
| Medicare Enrollment ID | O20200909002162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417565433 | NPI | - | NPPES |
| 1861625691 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica L Kennemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861625691 PECOS PAC ID: 4082753793 Enrollment ID: I20091209000042 |
| Provider Name | Michael L Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083879555 PECOS PAC ID: 5799815403 Enrollment ID: I20100607000488 |
| Provider Name | Natalie C Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154859189 PECOS PAC ID: 2062830979 Enrollment ID: I20200909001858 |
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