Kelly Lucas, | |
3700 N Kickapoo Ave Ste 124, Shawnee, OK 74804-0007 | |
(405) 273-6383 | |
Not Available |
Full Name | Kelly Lucas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3700 N Kickapoo Ave Ste 124, Shawnee, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861986762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 92148 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shawnee Medical Center Clinic, Inc. | 3870405434 | 80 |
Select Physical Therapy Holdings Inc | 9537076401 | 1487 |
Entity Name | Shawnee Medical Center Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
Mailing Address | Practice Location Address |
---|---|
Kelly Lucas, 3700 N Kickapoo Ave Ste 124, Shawnee, OK 74804-0007 Ph: (405) 273-6383 | Kelly Lucas, 3700 N Kickapoo Ave Ste 124, Shawnee, OK 74804-0007 Ph: (405) 273-6383 |
Dustin Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 | |
Mrs. Sabrina R Lafrance, CNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Redbud Ln, Shawnee, OK 74801 Phone: 509-554-9250 | |
Susan George, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Cindy Cheatwood, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 Fax: 405-585-2859 | |
Bonnie Nadaene Grude, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5903 Gabriel, Shawnee, OK 74804 Phone: 918-470-0324 | |
Ms. Janet Sue Pasquali Bowers, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 N Kickapoo Ave, Suite 150 & 154, Shawnee, OK 74804 Phone: 405-628-6535 Fax: 405-628-6532 | |
Christopher Keith Carpenter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |