| Dustin Wade, | |
|
2508 N Harrison St, Shawnee, OK 74804-3131 | |
| (405) 585-2030 | |
| Not Available |
| Full Name | Dustin Wade |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 2508 N Harrison St, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013323336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 91102 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prague Community Hospital | Prague, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advance Physicians Group | 0244122083 | 12 |
| Crossroads Medical Management Pc | 4183856784 | 4 |
| Prague Healthcare Authority | 8123435187 | 10 |
| Entity Name | Norman Regional Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912563727 PECOS PAC ID: 2769395185 Enrollment ID: O20031111000299 |
| Entity Name | Advance Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750395448 PECOS PAC ID: 0244122083 Enrollment ID: O20040326000898 |
| Entity Name | Healthcare Stat |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609029644 PECOS PAC ID: 7012067762 Enrollment ID: O20090618000208 |
| Entity Name | Crossroads Medical Management Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780011874 PECOS PAC ID: 4183856784 Enrollment ID: O20140414001788 |
| Entity Name | Healthcare Stat Of Newcastle Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346796604 PECOS PAC ID: 2769760768 Enrollment ID: O20161026001208 |
| Entity Name | Icare Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881190833 PECOS PAC ID: 0840555777 Enrollment ID: O20180524001890 |
| Entity Name | Prague Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851537096 PECOS PAC ID: 8123435187 Enrollment ID: O20210524002299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Wade, 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 Ph: () - | Dustin Wade, 2508 N Harrison St, Shawnee, OK 74804-3131 Ph: (405) 585-2030 |
Mrs. Lauren M Rubino, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 N Kickapoo Ave Ste 116, Shawnee, OK 74804 Phone: 405-551-8103 | |
Mrs. Sabrina R Lafrance, CNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Redbud Ln, Shawnee, OK 74801 Phone: 509-554-9250 | |
Dr. Magdalyn Boegler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804 Phone: 405-214-1700 | |
Mrs. Destiny Ruosa Mitchell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 781 Grand Casino Blvd, Shawnee, OK 74804 Phone: 405-964-5770 Fax: 405-964-5788 | |
Candice Hamre, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 Fax: 405-857-3122 | |
Susan George, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 Fax: 405-701-7631 |