| Nicole Willis, DO | |
|
15951 Little Axe Drive, Norman, OK 73026 | |
| (405) 447-0300 | |
| Not Available |
| Full Name | Nicole Willis |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 15951 Little Axe Drive, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831428143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4971 (Oklahoma) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Willis, DO 15951 Little Axe Dr., Norman, OK 73026 Ph: (405) 447-0300 | Nicole Willis, DO 15951 Little Axe Drive, Norman, OK 73026 Ph: (405) 447-0300 |
Dr. Thomas Louis Kuhls, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Wall St, Norman, OK 73069 Phone: 405-321-5114 Fax: 405-321-6482 | |
Betty Harmon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 W Tecumseh Rd, Suite 305, Norman, OK 73072 Phone: 405-912-3100 Fax: 405-912-3104 | |
Dr. Richard A. Carlson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 E Robinson St, Ste 2200, Norman, OK 73071 Phone: 405-364-7725 Fax: 405-364-5161 | |
Dr. Sudhakara R. Kunamneni, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 N Porter Ave, Suite 208a, Norman, OK 73071 Phone: 405-579-1444 Fax: 405-579-1448 | |
Molly Marie Denny, Pediatrics Medicare: Medicare Enrolled Practice Location: 1237 Alameda St, Norman, OK 73071 Phone: 405-632-6688 | |
Dr. Donna S. Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Wall St, Norman, OK 73069 Phone: 405-321-5114 Fax: 405-321-6482 | |
Dr. Victor Thomas Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Wall St, Norman, OK 73069 Phone: 405-360-7337 Fax: 866-259-0044 |