| Heather Prentice, ARNP | |
|
202 West Broadway, Allen, OK 74825 | |
| (580) 857-2424 | |
| (580) 857-2220 |
| Full Name | Heather Prentice |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 202 West Broadway, Allen, 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 |
|---|---|---|---|
| 1073983961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 86291 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 86291 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mccurtain Memorial Hospital | Idabel, OK | Hospital |
| Entity Name | Mccurtain Memorial Medical Management, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629020177 PECOS PAC ID: 8022926252 Enrollment ID: O20040626000315 |
| Entity Name | Holdenville Hospital Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140627001419 |
| Entity Name | Holdenville Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140702001183 |
| Entity Name | Allen Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083153514 PECOS PAC ID: 1456628239 Enrollment ID: O20170526000750 |
| Entity Name | Southern Plains Medical Center Of Garvin County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083280622 PECOS PAC ID: 5496155582 Enrollment ID: O20210617000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Prentice, ARNP Po Box 305, Allen, OK 74825-0305 Ph: (580) 857-2424 | Heather Prentice, ARNP 202 West Broadway, Allen, OK 74825 Ph: (580) 857-2424 |
Mrs. Kelly Shannon Russell, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Easton, Allen, OK 74825 Phone: 580-857-1300 |