| Christopher Thomas Wesley, | |
|
610 S Walnut St, Stillwater, OK 74074-4222 | |
| (405) 372-1480 | |
| Not Available |
| Full Name | Christopher Thomas Wesley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 610 S Walnut St, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588471940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 221954 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | South Central Emergency Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Thomas Wesley, 1311 Richmond Rd, Edmond, OK 73034-3217 Ph: (572) 205-8757 | Christopher Thomas Wesley, 610 S Walnut St, Stillwater, OK 74074-4222 Ph: (405) 372-1480 |
Melissa Dawn Mcray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-784-5842 | |
Connie R Lowry, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 | |
Debra O'day, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1323 W 6th Ave, Stillwater, OK 74074 Phone: 405-372-1480 | |
Toby Lea Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1603 W 9th Ave, Stillwater, OK 74074 Phone: 405-379-0002 Fax: 405-300-1090 | |
Jeremiah Bro, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave Ste 207, Stillwater, OK 74074 Phone: 405-533-3010 | |
Mrs. Laura De Mauriac Shaw, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1411 W 7th St, Ste 102, Stillwater, OK 74074 Phone: 405-624-8222 Fax: 405-372-3769 | |
Shanna Lynn Douglass, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave Ste 207, Stillwater, OK 74074 Phone: 405-533-3010 |