| Gina Clark, DO | |
|
1505 E Main St, Stigler, OK 74462-2913 | |
| (918) 967-3368 | |
| (918) 967-4582 |
| Full Name | Gina Clark |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 1505 E Main St, Stigler, 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 |
|---|---|---|---|
| 1790065399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 172613 (North Carolina) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 5482 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Compassion Home Care, Inc | Stigler, OK | Home health agency |
| Oldham Home Care Llc | Stigler, OK | Home health agency |
| Ahni Health Services, Inc | Keota, OK | Home health agency |
| Complete Home Health Of Stigler | Stigler, OK | Home health agency |
| Haskell Regional Hospital, Inc | Stigler, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stigler Health And Wellness Center Inc | 8022061373 | 35 |
| Haskell Regional Hospital Inc | 1153742739 | 6 |
| Stigler Health And Wellness Center Inc | 8022061373 | 35 |
| Entity Name | Campbell University Health Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508117185 PECOS PAC ID: 1254586308 Enrollment ID: O20130221000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Clark, DO Po Box 179, Stigler, OK 74462-0179 Ph: (918) 967-3368 | Gina Clark, DO 1505 E Main St, Stigler, OK 74462-2913 Ph: (918) 967-3368 |
Kensie Bush, APRN-CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 Nw 5th St, Stigler, OK 74462 Phone: 918-967-0055 | |
Dr. Stephen W Woodson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 907 Nw 5th St, Stigler, OK 74462 Phone: 918-967-3355 Fax: 918-967-8863 | |
Mr. Mark William Mccurry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 N Skyline Dr, Stigler, OK 74462 Phone: 918-697-9696 Fax: 918-948-8282 | |
Tracy M Baker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1505 E Main St, Stigler, OK 74462 Phone: 918-967-3368 Fax: 917-967-3351 | |
Dr. Thomas Harold Conklin Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Stigler, OK 74462 Phone: 918-967-2130 Fax: 918-967-2461 |