| Holly D Hazard, APRN-CNP | |
|
209 W Broadway St, Okemah, OK 74859-2618 | |
| (800) 640-9741 | |
| (918) 967-3351 |
| Full Name | Holly D Hazard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 209 W Broadway St, Okemah, 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Central Oklahoma Family Health Center, Inc. | 3779643994 | 10 |
| 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 209 W Broadway St, Okemah, OK 74859-2618 Ph: (800) 640-9741 | Holly D Hazard, APRN-CNP 209 W Broadway St, Okemah, OK 74859-2618 Ph: (800) 640-9741 |
Jessica Rae Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114036 N 3690 Rd, Okemah, OK 74859 Phone: 918-716-8378 |
Debra Lynn Dixon, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 N 3rd St, Okemah, OK 74859 Phone: 918-623-3060 Fax: 918-623-2380 |