| Holly D Hazard, APRN-CNP | |
|
207 W 1st St, Wewoka, OK 74884-2103 | |
| (405) 257-5422 | |
| (405) 257-5463 |
| Full Name | Holly D Hazard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 207 W 1st St, Wewoka, 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 |
|---|---|---|---|
| 1144069949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 220118 (Oklahoma) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1158948 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Central Oklahoma Family Health Center, Inc. | 3779643994 | 11 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly D Hazard, APRN-CNP Po Box 236, Wetumka, OK 74883-0236 Ph: (405) 257-5422 | Holly D Hazard, APRN-CNP 207 W 1st St, Wewoka, OK 74884-2103 Ph: (405) 257-5422 |
Amy Marie Ashley, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 W 1st St, Wewoka, OK 74884 Phone: 405-257-3396 Fax: 405-257-6908 | |
Mrs. Tracy S Williams, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Junction Of Hwy 270 And 56, Wewoka, OK 74884 Phone: 405-257-6282 Fax: 405-257-2051 | |
Mrs. Wendy J Pingleton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36640 Hwy 270, Wewoka, OK 74884 Phone: 405-257-6282 Fax: 405-257-3344 | |
Mary Kathryn Machado, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 W 1st St, Wewoka, OK 74884 Phone: 405-257-5422 Fax: 405-257-5463 |