| J & G Mikes Enterprises Inc | |
|
8512 Tiffany Drive, Oklahoma City, OK 73132 | |
| (405) 659-2805 | |
| (405) 728-2402 |
| Full Name | J & G Mikes Enterprises Inc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 8512 Tiffany Drive, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982775904 | NPI | - | NPPES |
| 200072920 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1107 (Oklahoma) | Primary |
| Provider Name | Jenny R Mikes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184702359 PECOS PAC ID: 8224180104 Enrollment ID: I20090723000759 |
| Mailing Address | Practice Location Address |
|---|---|
| J & G Mikes Enterprises Inc 8512 Tiffany Drive, Oklahoma City, OK 73132 Ph: (405) 659-2805 | J & G Mikes Enterprises Inc 8512 Tiffany Drive, Oklahoma City, OK 73132 Ph: (405) 659-2805 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 | |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 | |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 | |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 | |
Olivia B Riggs, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 N Oklahoma Ave Apt 1317, Oklahoma City, OK 73104 Phone: 918-949-8339 | |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 | |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 |