| Carol Diane Wink, PA-C | |
|
402 W Morrow Rd, Sand Springs, OK 74063-6549 | |
| (918) 295-1328 | |
| (918) 403-6313 |
| Full Name | Carol Diane Wink |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 402 W Morrow Rd, Sand Springs, 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 |
|---|---|---|---|
| 1265516827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1147 (Nebraska) | Secondary |
| 363A00000X | Physician Assistant | 1455 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home - Tulsa | Tulsa, OK | Home health agency |
| Ascension St John Sapulpa | Sapulpa, OK | Hospital |
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Ascension St John Owasso | Owasso, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omni Medical Group Inc | 9739080490 | 82 |
| Entity Name | Omni Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174578249 PECOS PAC ID: 9739080490 Enrollment ID: O20040115000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Diane Wink, PA-C 402 W Morrow Rd, Sand Springs, OK 74063-6549 Ph: (918) 295-1328 | Carol Diane Wink, PA-C 402 W Morrow Rd, Sand Springs, OK 74063-6549 Ph: (918) 295-1328 |
Mr. Jim Edward Mckinney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 102 S Main St, Sand Springs, OK 74063 Phone: 918-245-2286 Fax: 918-241-4366 |
Rebecca C Shepard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 W Morrow Rd, Sand Springs, OK 74063 Phone: 918-245-1328 Fax: 918-293-3181 |