| Katie Allyse Dudley, APRN, CNP | |
|
2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 | |
| (405) 224-2100 | |
| (405) 779-2310 |
| Full Name | Katie Allyse Dudley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2100 W Iowa Ave Ste A, Chickasha, 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 |
|---|---|---|---|
| 1073163275 | NPI | - | NPPES |
| PENDING | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 109112 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Norman Urology Associates Pc | 6103888961 | 10 |
| Entity Name | Norman Urology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679645055 PECOS PAC ID: 6103888961 Enrollment ID: O20041103000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Allyse Dudley, APRN, CNP 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 | Katie Allyse Dudley, APRN, CNP 2100 W Iowa Ave Ste A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 |
Mrs. Abby Marie Housman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2855 | |
Kevin Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2855 | |
Mary Masterman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 | |
Kacey L Wallace, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 W Choctaw Ave Ste 9, Chickasha, OK 73018 Phone: 405-544-2940 Fax: 405-337-9632 | |
Sibin Nair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 | |
Jeffrey Lee Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 |