| White Eagle Health Center | |
|
200 White Eagle Drive Ponca City OK 74601 | |
| (580) 765-2501 | |
| (580) 765-6348 |
| Full Name | White Eagle Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 White Eagle Drive, Ponca City, Oklahoma |
| Authorized Official Name and Position | Bennett Arkeketa (TRIBAL ADMINISTRATOR) |
| Authorized Official Contact | 5807652501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Eagle Health Center 200 White Eagle Drive Ponca City OK 74601 Ph: (580) 765-2501 | White Eagle Health Center 200 White Eagle Drive Ponca City OK 74601 Ph: (580) 765-2501 |
| NPI Number | 1699875724 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 05/18/2016 |
| Medicare PECOS PAC ID | 1456324193 |
|---|---|
| Medicare Enrollment ID | O20040819000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699875724 | NPI | - | NPPES |
| 100700590D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | William K Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629050364 PECOS PAC ID: 2466524368 Enrollment ID: I20080710000060 |
| Provider Name | Patrice E Mooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104072818 PECOS PAC ID: 6103959499 Enrollment ID: I20100806000809 |
| Provider Name | Kimberly K Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730496423 PECOS PAC ID: 8123210358 Enrollment ID: I20120718000213 |
| Provider Name | Bonnie Jo Mccarthick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184066656 PECOS PAC ID: 8022243427 Enrollment ID: I20131019000043 |
| Provider Name | Theresa Anne Flowerette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700800869 PECOS PAC ID: 0345216990 Enrollment ID: I20141015000101 |
| Provider Name | James R Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639219066 PECOS PAC ID: 0547587255 Enrollment ID: I20150317002301 |
| Provider Name | Monica D Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437678562 PECOS PAC ID: 7416292511 Enrollment ID: I20181218002217 |
| Provider Name | Lesa Westra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518381151 PECOS PAC ID: 7315311073 Enrollment ID: I20230320001325 |
| Provider Name | Amy Oatman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962706390 PECOS PAC ID: 9830564996 Enrollment ID: I20240129004554 |
| Provider Name | Julie D Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487084968 PECOS PAC ID: 4284008038 Enrollment ID: I20240208001667 |
| Provider Name | Gabrielle Evangeline Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679096952 PECOS PAC ID: 4688010978 Enrollment ID: I20240312003965 |
| Provider Name | Jake Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396082798 PECOS PAC ID: 3870814593 Enrollment ID: I20240315001903 |
| Provider Name | Orele Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174158638 PECOS PAC ID: 7214330323 Enrollment ID: I20240326002310 |
| Provider Name | Latasha Leon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255797460 PECOS PAC ID: 8325485311 Enrollment ID: I20240326003264 |
| Provider Name | Janae Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073124764 PECOS PAC ID: 7214330281 Enrollment ID: I20240411001938 |
| Provider Name | Tammy Lea Otero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376199596 PECOS PAC ID: 8224571682 Enrollment ID: I20240613004217 |
Mark Oatman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Ponca City, OK 74601 Phone: 580-762-1777 Fax: 580-762-1771 | |
Dsk Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bruce Baugher D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N 14th St, Suite 207, Ponca City, OK 74601 Phone: 580-763-5900 Fax: 580-763-5901 | |
Urgent Care And Family Practice Center Of Ponca City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N 5th St, Ponca City, OK 74601 Phone: 580-762-9292 Fax: 580-762-1660 | |
Lsi Clinics (lsi Foot, Shoe, Wound Or Orthotics) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 N 14th St, Ponca City, OK 74604 Phone: 580-718-0002 Fax: 580-718-0003 | |
Bradley Bibb Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911 Fax: 580-762-0887 | |
John W. Holden, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-9299 Fax: 580-765-2199 |