Shawnee Family Medicine Clinic | |
2400 N Harrison St Shawnee OK 74804-3133 | |
(405) 395-4441 | |
(405) 438-0540 |
Full Name | Shawnee Family Medicine Clinic |
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Speciality | Family Medicine |
Location | 2400 N Harrison St, Shawnee, Oklahoma |
Authorized Official Name and Position | Rodney Omar Mccrory (PARTNER-PROVIDER) |
Authorized Official Contact | 4053954441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shawnee Family Medicine Clinic 2400 N Harrison St Shawnee OK 74804-3133 Ph: (405) 395-4441 | Shawnee Family Medicine Clinic 2400 N Harrison St Shawnee OK 74804-3133 Ph: (405) 395-4441 |
NPI Number | 1518559368 |
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Provider Enumeration Date | 02/03/2021 |
Last Update Date | 06/17/2021 |
Medicare PECOS PAC ID | 9436566007 |
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Medicare Enrollment ID | O20210513001692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518559368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Rodney O Mccrory |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407815368 PECOS PAC ID: 6406867753 Enrollment ID: I20100420000130 |
Provider Name | Shannon Wood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912653221 PECOS PAC ID: 4587050802 Enrollment ID: I20220413000493 |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Louisa Ave, Shawnee, OK 74801 Phone: 405-273-1846 | |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 N Kennedy Ave Ste B, Shawnee, OK 74801 Phone: 405-600-6869 | |
Oklahoma Baptist University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W University St, Shawnee, OK 74804 Phone: 405-878-2153 | |
Ssm Health Medical Group Shawnee Kickapoo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-273-6383 Fax: 405-273-3748 | |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-600-6869 | |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E Independence St, Shawnee, OK 74804 Phone: 405-600-6869 | |
Meridian Long Term Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17393 S Rock Creek Rd, Shawnee, OK 74801 Phone: 469-387-0861 |