| Jonathan Scott Clark, DO | |
|
1103 Dewey Ave, Poteau, OK 74953-4411 | |
| (918) 649-3777 | |
| (918) 649-3891 |
| Full Name | Jonathan Scott Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 1103 Dewey Ave, Poteau, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184682866 | NPI | - | NPPES |
| P00061421 | Other | OK | RAILROAD MEDICARE |
| 100114570B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3561 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Green Country Home Care, Inc | Mcalester, OK | Home health agency |
| Mays Housecall Home Health Of Tulsa, Llc | Tulsa, OK | Home health agency |
| Oklahoma Healthcare Solutions Vii | Smithville, OK | Home health agency |
| Complete Home Health Of Stigler | Stigler, OK | Home health agency |
| Holistic Home Care Home Health Llc | Keota, OK | Home health agency |
| Eastern Oklahoma Medical Center | Poteau, OK | Hospital |
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro-care Family Health Of Oklahoma , Llc | 1456603901 | 4 |
| Entity Name | Pro-care Family Health Of Oklahoma , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396234761 PECOS PAC ID: 1456603901 Enrollment ID: O20181010002297 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Scott Clark, DO Po Box 1236, Poteau, OK 74953-1236 Ph: (918) 649-3777 | Jonathan Scott Clark, DO 1103 Dewey Ave, Poteau, OK 74953-4411 Ph: (918) 649-3777 |
Dr. Caitlyn Elizabeth Bowman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Wall St, Poteau, OK 74953 Phone: 918-635-3100 | |
Autumn R Hembree, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W Robert St, Poteau, OK 74953 Phone: 918-649-0069 Fax: 918-649-0067 | |
Dr. Kassandra L Payne, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Wall St, Poteau, OK 74953 Phone: 918-647-8635 Fax: 918-635-3191 | |
Dennis J Carter, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1013 Dewey Ave, Poteau, OK 74953 Phone: 918-647-2929 Fax: 918-647-2288 | |
Ryan A Pitts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N Broadway St Ste 301, Poteau, OK 74953 Phone: 918-208-7497 Fax: 918-208-7687 | |
Tabitha Rena Young, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 N Broadway St, Poteau, OK 74953 Phone: 918-839-9699 |