| Team Clinics Ah Llc | |
|
3112 Cooke Way Oklahoma City OK 73179-2401 | |
| (405) 546-4130 | |
| Not Available |
| Full Name | Team Clinics Ah Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3112 Cooke Way, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Trevor Nutt (CEO) |
| Authorized Official Contact | 4055464130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Clinics Ah Llc 3112 Cooke Way Oklahoma City OK 73179-2401 Ph: () - | Team Clinics Ah Llc 3112 Cooke Way Oklahoma City OK 73179-2401 Ph: (405) 546-4130 |
| NPI Number | 1366022998 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 2860880887 |
|---|---|
| Medicare Enrollment ID | O20211025001911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366022998 | NPI | - | NPPES |
| 200782030 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kevin M Penwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841286333 PECOS PAC ID: 8325005580 Enrollment ID: I20041220000487 |
| Provider Name | Amy N Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275866980 PECOS PAC ID: 7810036134 Enrollment ID: I20091130000306 |
| Provider Name | Allison L Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235457938 PECOS PAC ID: 2668657057 Enrollment ID: I20110504000510 |
| Provider Name | Carol L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194119016 PECOS PAC ID: 2860792157 Enrollment ID: I20151118000157 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |