| Jeffrey K Mcilroy Md Inc | |
|
2990 N Sioux Ave Claremore OK 74017-3700 | |
| (918) 342-2622 | |
| (918) 342-2641 |
| Full Name | Jeffrey K Mcilroy Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2990 N Sioux Ave, Claremore, Oklahoma |
| Authorized Official Name and Position | Terry Featherston (OFFICE MANAGER) |
| Authorized Official Contact | 9183422622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey K Mcilroy Md Inc 2990 N Sioux Ave Claremore OK 74017-3700 Ph: (918) 342-2622 | Jeffrey K Mcilroy Md Inc 2990 N Sioux Ave Claremore OK 74017-3700 Ph: (918) 342-2622 |
| NPI Number | 1053531830 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/12/2008 |
| Medicare PECOS PAC ID | 8527962216 |
|---|---|
| Medicare Enrollment ID | O20031124000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053531830 | NPI | - | NPPES |
| 200054200A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tracy S Loper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376657130 PECOS PAC ID: 2466341961 Enrollment ID: I20040312000710 |
| Provider Name | Janet L Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568562700 PECOS PAC ID: 6507848512 Enrollment ID: I20040603000736 |
| Provider Name | Teresa L Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932136751 PECOS PAC ID: 9335247220 Enrollment ID: I20070530000386 |
| Provider Name | Maria S Arquisola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003846742 PECOS PAC ID: 1456438076 Enrollment ID: I20080408000006 |
| Provider Name | Deborah Burkowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477884245 PECOS PAC ID: 8527231992 Enrollment ID: I20111031000265 |
| Provider Name | Sarah Linn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235307901 PECOS PAC ID: 4082781133 Enrollment ID: I20111227000418 |
| Provider Name | Debra A Stone |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457463754 PECOS PAC ID: 5496922122 Enrollment ID: I20120120000860 |
| Provider Name | Cynthia A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801133772 PECOS PAC ID: 3678727146 Enrollment ID: I20130208000458 |
| Provider Name | Tamara C Newcomb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467614248 PECOS PAC ID: 7214092329 Enrollment ID: I20130702000694 |
| Provider Name | Kent Alan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573508 PECOS PAC ID: 9032332390 Enrollment ID: I20140514001512 |
| Provider Name | Holly D Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679986384 PECOS PAC ID: 2567681539 Enrollment ID: I20140924001513 |
| Provider Name | Kimberly Oman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467793612 PECOS PAC ID: 1759529282 Enrollment ID: I20160707000433 |
| Provider Name | Christine Monteith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700274230 PECOS PAC ID: 7113292731 Enrollment ID: I20171009000881 |
| Provider Name | Rachael Aline Touma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598398133 PECOS PAC ID: 4789015009 Enrollment ID: I20200520001725 |
| Provider Name | Jon Ann Esponge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609425008 PECOS PAC ID: 7012340383 Enrollment ID: I20210324000703 |
| Provider Name | Jessica Rae Ngotngamwong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861630600 PECOS PAC ID: 9234480724 Enrollment ID: I20210804002274 |
| Provider Name | Jonathan Lurz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619599958 PECOS PAC ID: 0244621076 Enrollment ID: I20220105000221 |
| Provider Name | Ilona Willyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154687697 PECOS PAC ID: 4284088766 Enrollment ID: I20231003000560 |
| Provider Name | Danielle Marie Coy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669016580 PECOS PAC ID: 8426407404 Enrollment ID: I20231215002754 |
Youthcare Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W 12th St, Claremore, OK 74017 Phone: 866-926-6552 Fax: 918-289-0551 | |
Yco Alliance Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1402 N Florence Ave Ste B, Claremore, OK 74017 Phone: 918-608-0380 Fax: 918-770-9337 | |
Rogers County Youth Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 N Highway 88, Claremore, OK 74017 Phone: 918-341-7580 Fax: 918-341-7977 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-342-0770 | |
A Peace Within, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 N Florence Ave, Suite A, Claremore, OK 74017 Phone: 918-697-4201 | |
Rogers County Training Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 El Anderson Blvd, Claremore, OK 74017 Phone: 918-341-5936 |