Variety Care, Straka - Medicare Primary Care in Oklahoma City, OK

Variety Care, Straka is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Oklahoma City, Oklahoma. The current practice location for Variety Care, Straka is 1025 Straka Ter, Oklahoma City, Oklahoma. For appointments, you can reach them via phone at (405) 632-6688. The mailing address for Variety Care, Straka is 3000 N Grand Blvd, Oklahoma City, Oklahoma and phone number is (405) 632-6688.

Variety Care, Straka is licensed to practice in Oklahoma (license number ). The clinic also participates in the medicare program and its NPI number is 1780697813. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (405) 632-6688.

Contact Information

Variety Care, Straka
1025 Straka Ter
Oklahoma City
OK 73139-2544
(405) 632-6688
(405) 604-0708

Map and Direction


Primary Care Clinic Profile

Full NameVariety Care, Straka
SpecialityClinic/Center
Location1025 Straka Ter, Oklahoma City, Oklahoma
Authorized Official Name and PositionTim Reddout (CFO)
Authorized Official Contact4056326688
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Variety Care, Straka
3000 N Grand Blvd
Oklahoma City
OK 73107-1818

Ph: (405) 632-6688
Variety Care, Straka
1025 Straka Ter
Oklahoma City
OK 73139-2544

Ph: (405) 632-6688

NPI Details:

NPI Number1780697813
Provider Enumeration Date08/13/2006
Last Update Date02/26/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1557260007
Medicare Enrollment IDO20040105000467

Medical Identifiers

Medical identifiers for Variety Care, Straka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780697813NPI-NPPES
100734110BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Variety Care, Straka acts as a billing entity for following providers:
Provider NameBelinda G Broady-symes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174537278
PECOS PAC ID: 9234024019
Enrollment ID: I20040729001325
Provider NameTheresa S Garton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437180858
PECOS PAC ID: 3779556782
Enrollment ID: I20040823000013
Provider NameKumar Ennamuri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396783056
PECOS PAC ID: 9436105616
Enrollment ID: I20050812000116
Provider NamePamela S Miles
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619945466
PECOS PAC ID: 5597789107
Enrollment ID: I20060123000540
Provider NameCatherine W Gardner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730270463
PECOS PAC ID: 3577560630
Enrollment ID: I20061102000255
Provider NameShana R Solis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154493872
PECOS PAC ID: 8628079100
Enrollment ID: I20070125000535
Provider NameHeather D Jones
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1407950504
PECOS PAC ID: 7416956412
Enrollment ID: I20080121000160
Provider NameLydia Nightingale
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356497291
PECOS PAC ID: 4082785100
Enrollment ID: I20080618000096
Provider NameJulie O Mccoy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932365889
PECOS PAC ID: 1153481890
Enrollment ID: I20081125000639
Provider NameDeborah S Murnan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477718542
PECOS PAC ID: 0244385011
Enrollment ID: I20090831000195
Provider NameJubel Jhun Sullano Bilbao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437354479
PECOS PAC ID: 3375689359
Enrollment ID: I20091005000536
Provider NameDaniel C Clinkenbeard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629076963
PECOS PAC ID: 9830238740
Enrollment ID: I20091207000532
Provider NameElizabeth A Foote
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871632083
PECOS PAC ID: 3971635343
Enrollment ID: I20100720001037
Provider NameAndrew L Foote
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558400762
PECOS PAC ID: 8123150596
Enrollment ID: I20100720001056
Provider NameKyle A Stewart
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457557571
PECOS PAC ID: 5991829335
Enrollment ID: I20100907001122
Provider NameDevin G Mcadams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184683864
PECOS PAC ID: 3072598150
Enrollment ID: I20110124000531
Provider NameTimothy R Fagan
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1477557452
PECOS PAC ID: 4385829084
Enrollment ID: I20110422000109
Provider NameJulia H Reza
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023220936
PECOS PAC ID: 2365507548
Enrollment ID: I20111205000411
Provider NameJacqueline Renee Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427344035
PECOS PAC ID: 7214102771
Enrollment ID: I20111212000379
Provider NameSheleatha M Taylor Bristow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265744056
PECOS PAC ID: 2365619970
Enrollment ID: I20120123000805
Provider NameJorgee A Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750502431
PECOS PAC ID: 3375704034
Enrollment ID: I20120405000694
Provider NameLisa J Hays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962797019
PECOS PAC ID: 4082875364
Enrollment ID: I20120412000669
Provider NameNelson Ivan Agudelo-higuita
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1194920074
PECOS PAC ID: 4587820535
Enrollment ID: I20120719000533
Provider NameAmber D Wolfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760757140
PECOS PAC ID: 3375784036
Enrollment ID: I20130724000013
Provider NameCourtney Brooke Atchley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033306873
PECOS PAC ID: 5193968782
Enrollment ID: I20130829000577
Provider NameKanita L Moser
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073705471
PECOS PAC ID: 2668527342
Enrollment ID: I20140321001225
Provider NameKathryn E Knight
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003237108
PECOS PAC ID: 0244462356
Enrollment ID: I20140403001528
Provider NameGloria P Ayisi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285044461
PECOS PAC ID: 7416174636
Enrollment ID: I20140812002382
Provider NameJade Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821404377
PECOS PAC ID: 1153643077
Enrollment ID: I20141204000832
Provider NameSummer Z Jatala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982998290
PECOS PAC ID: 4385966043
Enrollment ID: I20141208001171
Provider NameApril J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154758530
PECOS PAC ID: 2466764493
Enrollment ID: I20150706001810
Provider NameViolet Cohen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063493187
PECOS PAC ID: 1052611928
Enrollment ID: I20151125000414
Provider NameAmanda Martin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497073290
PECOS PAC ID: 1658674791
Enrollment ID: I20160122000965
Provider NameL'tora Bryant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689032179
PECOS PAC ID: 2264738921
Enrollment ID: I20160308000197
Provider NameTaimur Paracha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922348036
PECOS PAC ID: 5597063107
Enrollment ID: I20160415000226
Provider NameElizabeth Diane Rainwater
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851735658
PECOS PAC ID: 6305166489
Enrollment ID: I20160624000967
Provider NameLisa Truong
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1376981399
PECOS PAC ID: 0648561217
Enrollment ID: I20160629001279
Provider NameSandra Jean Gilliland
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003957846
PECOS PAC ID: 7810280864
Enrollment ID: I20160728000117
Provider NameNipun Kotha
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1043443013
PECOS PAC ID: 5991098840
Enrollment ID: I20160729000838
Provider NameJenney Z Qin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154687010
PECOS PAC ID: 8729372446
Enrollment ID: I20160803001557
Provider NameJason R Graham
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841202298
PECOS PAC ID: 2466457254
Enrollment ID: I20160818000603
Provider NameJennifer Lynn Evans
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1366842676
PECOS PAC ID: 2860788569
Enrollment ID: I20160907000189
Provider NameMelissa Sue Alfred
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295193910
PECOS PAC ID: 9234435421
Enrollment ID: I20170120002281
Provider NameSharon Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598213514
PECOS PAC ID: 1557646171
Enrollment ID: I20170322002463
Provider NameMary M Hines
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588078331
PECOS PAC ID: 0941520266
Enrollment ID: I20170725001711
Provider NameNicole O Hickson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720492473
PECOS PAC ID: 2860763257
Enrollment ID: I20170803000721
Provider NameGeneva Hirshburg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154764892
PECOS PAC ID: 5799050753
Enrollment ID: I20171002002537
Provider NameRosita Rodarte
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679978175
PECOS PAC ID: 9436417482
Enrollment ID: I20171220000927
Provider NameKourtney Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093165227
PECOS PAC ID: 8123387131
Enrollment ID: I20180122000375
Provider NameNissy Mathew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689020067
PECOS PAC ID: 5294095659
Enrollment ID: I20180202000206
Provider NameTenessa G Pinkerton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407374820
PECOS PAC ID: 6406121425
Enrollment ID: I20180207001752
Provider NameBrenda Rodriguez Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740780162
PECOS PAC ID: 0941564066
Enrollment ID: I20180425002590
Provider NameRobert Ward
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295115962
PECOS PAC ID: 4789932666
Enrollment ID: I20180809000712
Provider NameKathryn Kramer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1477967230
PECOS PAC ID: 1951691229
Enrollment ID: I20180815000103
Provider NameKaren Suzanne Sargent
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275886459
PECOS PAC ID: 0143534073
Enrollment ID: I20180905002032
Provider NameRenate Sabine Winningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497222616
PECOS PAC ID: 1355689704
Enrollment ID: I20190211002969
Provider NameHilda Rodriguez
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1619322211
PECOS PAC ID: 0446591275
Enrollment ID: I20190404001639
Provider NameMusheni Nsa
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679863369
PECOS PAC ID: 6507150489
Enrollment ID: I20190826001105
Provider NameDaisy Mabel Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487085726
PECOS PAC ID: 8527492552
Enrollment ID: I20191230001169
Provider NameJessica Susan Lutz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730594326
PECOS PAC ID: 3678872793
Enrollment ID: I20191230001969
Provider NameUsman Baber
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1538378427
PECOS PAC ID: 7012186513
Enrollment ID: I20200323002518
Provider NameBency John Sony
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932665304
PECOS PAC ID: 7315376878
Enrollment ID: I20200403001410
Provider NameRegina Tomichen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801277876
PECOS PAC ID: 1052625241
Enrollment ID: I20200709000245
Provider NameAlexis Suzanne Shelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205466240
PECOS PAC ID: 4587088729
Enrollment ID: I20200721004315
Provider NameJackeline Vanessa Pickelsimer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629685946
PECOS PAC ID: 7810317815
Enrollment ID: I20201013001567
Provider NameDeniese S Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144810698
PECOS PAC ID: 9436564457
Enrollment ID: I20210224001137
Provider NameMary Claire J Carbonell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457956286
PECOS PAC ID: 4385051473
Enrollment ID: I20210408001313
Provider NameJessica Williams
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1861010589
PECOS PAC ID: 9931501319
Enrollment ID: I20210707003073
Provider NameMolly Marie Denny
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164927778
PECOS PAC ID: 3173926565
Enrollment ID: I20210722001904
Provider NameEmily Cahill
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407346315
PECOS PAC ID: 0042613812
Enrollment ID: I20210730002465
Provider NameConner Eugene Johnson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831683101
PECOS PAC ID: 1052715927
Enrollment ID: I20210814000070
Provider NameKarla V Sigala
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1891468310
PECOS PAC ID: 5698170421
Enrollment ID: I20210817003321
Provider NameStephanie N White Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841843265
PECOS PAC ID: 0345638516
Enrollment ID: I20211021001226
Provider NameNoha Farid Mohamad Ahmad Hamada
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982195749
PECOS PAC ID: 6800284738
Enrollment ID: I20211027000121
Provider NameSylvia A Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518156371
PECOS PAC ID: 7416110184
Enrollment ID: I20211105000499
Provider NameLauren Ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255097671
PECOS PAC ID: 8426449752
Enrollment ID: I20211222000167
Provider NameMaria Lee Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982374831
PECOS PAC ID: 2860888005
Enrollment ID: I20220415000290
Provider NameAndrea Lynn Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831737667
PECOS PAC ID: 4486041126
Enrollment ID: I20220427000556
Provider NameDavid Alan Ciesla
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1174665111
PECOS PAC ID: 6709266331
Enrollment ID: I20220629001295
Provider NameRebecca J King Rackley
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1790899474
PECOS PAC ID: 7113307687
Enrollment ID: I20220630002488
Provider NameKelsey R Damron
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427519511
PECOS PAC ID: 1355676891
Enrollment ID: I20220722002199
Provider NameMary K Nixon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1003307935
PECOS PAC ID: 4688924368
Enrollment ID: I20220802002173
Provider NameRamina Golshani
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1306328992
PECOS PAC ID: 9931582624
Enrollment ID: I20220812001412
Provider NameRobyn Nettles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467011015
PECOS PAC ID: 9931582517
Enrollment ID: I20220815001320
Provider NameJeaneth Rocio Hidalgo De Rangel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659006708
PECOS PAC ID: 0244614501
Enrollment ID: I20220906001028
Provider NameHannah E Moery
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790274199
PECOS PAC ID: 3476937616
Enrollment ID: I20220907001246
Provider NameValerie Shannon Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760117477
PECOS PAC ID: 4981089851
Enrollment ID: I20220913001046
Provider NameLindsay Jean Barron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891429882
PECOS PAC ID: 3072998707
Enrollment ID: I20220916001767
Provider NameGlenn R Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003806431
PECOS PAC ID: 8527080936
Enrollment ID: I20221031000163
Provider NameBrianna Lamoso
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003562448
PECOS PAC ID: 1153791884
Enrollment ID: I20221221001600
Provider NameLandon Kale Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700596277
PECOS PAC ID: 7810361102
Enrollment ID: I20230329000216
Provider NameEmerald Brooke Ferguson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1760172316
PECOS PAC ID: 4284091109
Enrollment ID: I20230608002235
Provider NameAshish D Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992148076
PECOS PAC ID: 3375835036
Enrollment ID: I20230615002115
Provider NameHitesh Kayastha
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1730871096
PECOS PAC ID: 6507224599
Enrollment ID: I20230623000961
Provider NameHector L Rivera Reyes
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457583585
PECOS PAC ID: 9739302340
Enrollment ID: I20230719004421
Provider NameMona Bahavar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508489642
PECOS PAC ID: 2264893973
Enrollment ID: I20230727002773
Provider NameLindsay Erin Aguilar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619538469
PECOS PAC ID: 6507228897
Enrollment ID: I20230818000206
Provider NameNathan Bugg
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1508505280
PECOS PAC ID: 1355703653
Enrollment ID: I20230818000864
Provider NameTreyon L Grant
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1881325025
PECOS PAC ID: 2567826464
Enrollment ID: I20230911003669
Provider NameCarlie M Pearson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144845876
PECOS PAC ID: 1052792678
Enrollment ID: I20231002002197
Provider NameKaren Trang Cheng
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942822945
PECOS PAC ID: 1850746728
Enrollment ID: I20231012001555
Provider NameMichael J Kierl
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1821075847
PECOS PAC ID: 8022465970
Enrollment ID: I20231114002758
Provider NameRahil Shariatzadeh Khalili
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750096301
PECOS PAC ID: 9234596271
Enrollment ID: I20231201000382
Provider NameSierra Victoria Lacey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417733924
PECOS PAC ID: 4284082017
Enrollment ID: I20231204003157
Provider NameKaren Denise Holubec-sorsby
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528167913
PECOS PAC ID: 9638528524
Enrollment ID: I20231218003796
Provider NameDesma Mckinney
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871612911
PECOS PAC ID: 4880987858
Enrollment ID: I20240116001638
Provider NameVinh Phung
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518456136
PECOS PAC ID: 6901254531
Enrollment ID: I20240116003248
Provider NameTracy Nelson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710134473
PECOS PAC ID: 0042660961
Enrollment ID: I20240117001798
Provider NameSally Kerr
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1427090018
PECOS PAC ID: 5698068534
Enrollment ID: I20240118003245
Provider NameJessica Vaught
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1326489279
PECOS PAC ID: 7416205349
Enrollment ID: I20240118003357
Provider NameApril Ann Keith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639631781
PECOS PAC ID: 2769835792
Enrollment ID: I20240125004729
Provider NameLindsey Renee Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538855333
PECOS PAC ID: 7012360316
Enrollment ID: I20240201003551
Provider NameSusana Makintubee
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124226741
PECOS PAC ID: 4587957428
Enrollment ID: I20240205002171
Provider NameJacqueline Freitas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669839502
PECOS PAC ID: 2365865540
Enrollment ID: I20240221000972
Provider NameJacquelyn Jones
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1427321157
PECOS PAC ID: 4688019995
Enrollment ID: I20240227000801
Provider NameMaurene Pantaleano
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1750936993
PECOS PAC ID: 3476901992
Enrollment ID: I20240301001843
Provider NameJennifer Mirossay
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770106189
PECOS PAC ID: 0749627628
Enrollment ID: I20240327002676
Provider NameJacob Epperson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578729521
PECOS PAC ID: 4082973037
Enrollment ID: I20240423002315

Reviews and Comments


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Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120
Phone: 405-286-1075    Fax: 405-608-1075

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.