| Doretta Jenison, PA-C | |
|
830 Oak Hill Rd, Choctaw, OK 73020-7510 | |
| (619) 886-0898 | |
| Not Available |
| Full Name | Doretta Jenison |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 830 Oak Hill Rd, Choctaw, 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 |
|---|---|---|---|
| 1962047183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Midwest | Midwest city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimum Care Hospitalist Group Pllc | 3779862446 | 22 |
| Optimum Post Acute Care Pllc | 5799162111 | 18 |
| Midwest Hospitalist Group Pllc | 9133465354 | 18 |
| Entity Name | Optimum Care Hospitalist Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306396577 PECOS PAC ID: 3779862446 Enrollment ID: O20161121001476 |
| Entity Name | Midwest Hospitalist Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
| Entity Name | Optimum Primary Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760030399 PECOS PAC ID: 2264853928 Enrollment ID: O20200604001174 |
| Entity Name | Optimum Family Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871263459 PECOS PAC ID: 0143611509 Enrollment ID: O20211220002245 |
| Entity Name | Optimum Post Acute Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225774227 PECOS PAC ID: 5799162111 Enrollment ID: O20220524001222 |
| Entity Name | Optimum Pac PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568352714 PECOS PAC ID: 3476052283 Enrollment ID: O20250819001589 |
| Mailing Address | Practice Location Address |
|---|---|
| Doretta Jenison, PA-C 830 Oak Hill Rd, Choctaw, OK 73020-7510 Ph: (619) 886-0898 | Doretta Jenison, PA-C 830 Oak Hill Rd, Choctaw, OK 73020-7510 Ph: (619) 886-0898 |
Billy Grant Sanders, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15679 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 |
Chelsea Waldrop, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14453 Se 29th St Ste D, Choctaw, OK 73020 Phone: 405-741-2844 Fax: 405-733-1334 |
Mr. Isaac Leland Schmiedel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14321 Ne 23rd St, Choctaw, OK 73020 Phone: 405-342-0255 Fax: 405-610-6960 |
Nhu Thuy Luong, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 |
Mrs. Kelly Dawn Moak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14321 Ne 23rd St, Choctaw, OK 73020 Phone: 405-342-0255 Fax: 405-610-6960 |