| Rural Wellness Anadarko Inc | |
|
1002 E Central Blvd Anadarko OK 73005-4405 | |
| (405) 247-2551 | |
| (405) 247-8528 |
| Full Name | Rural Wellness Anadarko Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 E Central Blvd, Anadarko, Oklahoma |
| Authorized Official Name and Position | Elizabeth Pusey (PRESIDENT) |
| Authorized Official Contact | 9493224337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Wellness Anadarko Inc 2524 N Broadway Edmond OK 73034-4172 Ph: (949) 322-4337 | Rural Wellness Anadarko Inc 1002 E Central Blvd Anadarko OK 73005-4405 Ph: (405) 247-2551 |
| NPI Number | 1538825120 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/23/2021 |
| Medicare PECOS PAC ID | 3274926100 |
|---|---|
| Medicare Enrollment ID | O20220216002693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538825120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | James V Rooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841269792 PECOS PAC ID: 7012918915 Enrollment ID: I20070119000199 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20070711000514 |
| Provider Name | Suraj Suku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20080808000395 |
| Provider Name | Donald F Haslam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689601866 PECOS PAC ID: 0446152722 Enrollment ID: I20090429000278 |
| Provider Name | Vishal Mundra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235469503 PECOS PAC ID: 0749453926 Enrollment ID: I20111103000448 |
| Provider Name | Shannon G Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477838217 PECOS PAC ID: 1658546759 Enrollment ID: I20111219000098 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20120725000093 |
| Provider Name | Stephen Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20130910000128 |
| Provider Name | Christina B Nez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420109 PECOS PAC ID: 5496849978 Enrollment ID: I20160429000783 |
| Provider Name | Monica Tubbesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063876985 PECOS PAC ID: 0446532428 Enrollment ID: I20170127000397 |
| Provider Name | Jessica Susan Culpepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033766167 PECOS PAC ID: 3870926363 Enrollment ID: I20191216000559 |
| Provider Name | Wendy M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558983957 PECOS PAC ID: 6305240979 Enrollment ID: I20210803003993 |
| Provider Name | Mark Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20230123000220 |
| Provider Name | Dolly B Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20230313000038 |
Variety Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Petree Rd, Anadarko, OK 73005 Phone: 405-632-6688 | |
Carefirst Wellness & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 E Central Blvd, Anadarko, OK 73005 Phone: 405-247-6685 | |
Fomg At Anadarko Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 E Central Blvd, Anadarko, OK 73005 Phone: 405-247-2551 | |
Variety Care Anadarko Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 W Petree Rd, Anadarko, OK 73005 Phone: 405-632-6688 | |
Rural Wellness Anadarko Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Se 11th Street, Anadarko, OK 73005 Phone: 405-247-9500 Fax: 405-247-9505 | |
Variety Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Petree Rd, Anadarko, OK 73005 Phone: 405-632-6688 |