| Jacob Roberts, | |
|
27427 E 109th St S, Coweta, OK 74429-3442 | |
| (918) 617-1978 | |
| Not Available |
| Full Name | Jacob Roberts |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 27427 E 109th St S, Coweta, 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 |
|---|---|---|---|
| 1023993094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 225438 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Council Oak Comprehensive Healthcare | Tulsa, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 364 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467053173 PECOS PAC ID: 5698786226 Enrollment ID: O20210226001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Roberts, 27427 E 109th St S, Coweta, OK 74429-3442 Ph: Not Available | Jacob Roberts, 27427 E 109th St S, Coweta, OK 74429-3442 Ph: (918) 617-1978 |
Julie Ann Hanselman, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11222 S 285th East Ave, Coweta, OK 74429 Phone: 918-695-4942 |
Mrs. Jessica Lee Thomas, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11495 S State Highway 51, Coweta, OK 74429 Phone: 918-727-2780 Fax: 918-279-7697 |
Barbra Lynn Caldwell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26945 E 143rd St S, Coweta, OK 74429 Phone: 918-694-1026 |
Jamie Nix, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31870 E Hwy 51, Coweta, OK 74429 Phone: 918-279-3340 |
Whitney Elizabeth Langford, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11495 S. State Highway 51, Coweta, OK 74429 Phone: 918-407-0065 |
Iaong Lor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 607 S Broadway, Coweta, OK 74429 Phone: 918-486-5564 |
Dr. Alyssa Hudgins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28596 E 141st St S, Coweta, OK 74429 Phone: 918-486-2845 |