| Carmen A Percival, PA-C | |
|
4301 Mow-way Road, Rach (attn: Mcua-qc, Ms. Prescott), Fort Sill, OK 73503-6300 | |
| (580) 458-2134 | |
| (580) 458-2314 |
| Full Name | Carmen A Percival |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4301 Mow-way Road, Fort Sill, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275636706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 998 (Oklahoma) | Primary |
| Entity Name | Xgto Urgent Medical of Lawton, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891027371 PECOS PAC ID: 4789863267 Enrollment ID: O20110131000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen A Percival, PA-C 4301 Mow-way Road, Rach (attn: Mcua-qc, Ms. Prescott), Fort Sill, OK 73503-6300 Ph: (580) 458-2134 | Carmen A Percival, PA-C 4301 Mow-way Road, Rach (attn: Mcua-qc, Ms. Prescott), Fort Sill, OK 73503-6300 Ph: (580) 458-2134 |
Mr. Joshua Micheal Hadley, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 833-286-3732 |
Vanessa Profit, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 240-688-2490 |
Adam Michael Clements, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-8420 |
Mr. Mihai Iancu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St., Rahc, Fort Sill, OK 73503 Phone: 580-558-2780 Fax: 580-558-3200 |
Justin Jimenez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 305-219-1872 |
Dustin Scott Martin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4301 Moway Rd, Reynolds Army Community Hospital (attn: Ruby Prescott), Fort Sill, OK 73503 Phone: 580-458-2134 Fax: 580-458-2314 |
Albert Minh Vu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-2795 |