| Skinner Family Practice Llc | |
|
129 N 3rd Ave Ste C Purcell OK 73080 | |
| (405) 641-6628 | |
| (405) 527-8669 |
| Full Name | Skinner Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 129 N 3rd Ave Ste C, Purcell, Oklahoma |
| Authorized Official Name and Position | Tenia Ladonna Skinner (PHYSICIAN) |
| Authorized Official Contact | 4056416628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skinner Family Practice Llc 129 N 3rd Ave Ste C Purcell OK 73080-4246 Ph: (405) 641-6628 | Skinner Family Practice Llc 129 N 3rd Ave Ste C Purcell OK 73080 Ph: (405) 641-6628 |
| NPI Number | 1265924872 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 09/05/2018 |
| Medicare PECOS PAC ID | 3375896152 |
|---|---|
| Medicare Enrollment ID | O20181024001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265924872 | NPI | - | NPPES |
| 200204740A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tenia L Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114182342 PECOS PAC ID: 0345377768 Enrollment ID: I20100416000122 |
Saints Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 4th Ave Ste 107, Purcell, OK 73080 Phone: 405-527-5400 Fax: 405-527-7332 | |
V & B Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 N 4th Ave, Suite 100, Purcell, OK 73080 Phone: 405-527-1075 | |
Traditions Health Of Purcell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 W Delaware St, Purcell, OK 73080 Phone: 405-527-0027 | |
Bbmht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 4th Ave, Ste 201, Purcell, OK 73080 Phone: 855-860-2109 | |
Jill L Watson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 4th Ave, Suite 100, Purcell, OK 73080 Phone: 405-527-1124 Fax: 405-527-0567 | |
Purcell Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 4th St, Ste 201, Purcell, OK 73080 Phone: 405-527-5400 Fax: 405-527-7332 |