| B T Peyton Llc | |
|
1700 Nw 17th St Ste 100 Oklahoma City OK 73106-4273 | |
| (405) 252-0317 | |
| Not Available |
| Full Name | B T Peyton Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Nw 17th St Ste 100, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brooke Peyton (OWNER) |
| Authorized Official Contact | 4052520317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B T Peyton Llc 1700 Nw 17th St Ste 100 Oklahoma City OK 73106-4273 Ph: (405) 252-0317 | B T Peyton Llc 1700 Nw 17th St Ste 100 Oklahoma City OK 73106-4273 Ph: (405) 252-0317 |
| NPI Number | 1427719152 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 2365897204 |
|---|---|
| Medicare Enrollment ID | O20231012000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427719152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Brooke Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184109787 PECOS PAC ID: 2163753922 Enrollment ID: I20191008003389 |
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