| Trucare Concepts Health Clinic | |
|
802 N Wyandotte Ave Dewey OK 74029-1838 | |
| (918) 534-2262 | |
| Not Available |
| Full Name | Trucare Concepts Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 802 N Wyandotte Ave, Dewey, Oklahoma |
| Authorized Official Name and Position | Ashley Clark (OWNER) |
| Authorized Official Contact | 4174991765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Concepts Health Clinic 802 N Wyandotte Ave Dewey OK 74029-1838 Ph: (918) 534-2262 | Trucare Concepts Health Clinic 802 N Wyandotte Ave Dewey OK 74029-1838 Ph: (918) 534-2262 |
| NPI Number | 1164203774 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 9931546512 |
|---|---|
| Medicare Enrollment ID | O20240319000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164203774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gina Leanne Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215952742 PECOS PAC ID: 8325088693 Enrollment ID: I20171201000913 |
| Provider Name | Jessica Jo Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144934456 PECOS PAC ID: 9638542053 Enrollment ID: I20230307000246 |