| Dr Valerie Marie Pack, DO | |
|
1921 Stonecipher Dr, Ada, OK 74820-3439 | |
| (580) 276-1846 | |
| (580) 559-0864 |
| Full Name | Dr Valerie Marie Pack |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1921 Stonecipher Dr, Ada, 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 |
|---|---|---|---|
| 1467847921 | NPI | - | NPPES |
| 200654670A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5857 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 5857 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chickasaw Nation Medical Center | Ada, OK | Hospital |
| Wagoner Community Hospital | Wagoner, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagoner Hospital Authority | 0042217531 | 19 |
| Chickasaw Nation Division Of Health | 8426957523 | 217 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20051122000749 |
| Entity Name | Hospital Care Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912945635 PECOS PAC ID: 9032131735 Enrollment ID: O20051222000019 |
| Entity Name | Wagoner Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20160811000217 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20160811000419 |
| Entity Name | Hcc Of Shattuck Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124661624 PECOS PAC ID: 8628401262 Enrollment ID: O20191212000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Valerie Marie Pack, DO 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 276-1846 | Dr Valerie Marie Pack, DO 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 276-1846 |
Dr. James L Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 | |
David Frow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Rikki J Scoggin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Dr. Joshua Priddle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 | |
Dr. Joanne Chinnici, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2513 Timber Ter, Ada, OK 74820 Phone: 580-399-7716 | |
Dr. Amber Holbein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 N Monte Vista St, Ada, OK 74820 Phone: 580-332-8855 Fax: 580-332-7374 | |
Marc J Davis, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 530 N Monte Vista St, Suite A, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447 |