| Jason C Klein, CPNP, ARNP | |
|
6800 Nw 39th Expy, Bethany, OK 73008-2513 | |
| (405) 789-6711 | |
| (405) 349-5145 |
| Full Name | Jason C Klein |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 6800 Nw 39th Expy, Bethany, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336117522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP132700 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | R0055785 (Oklahoma) | Primary |
| Entity Name | Okc Kids Urology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851868863 PECOS PAC ID: 3971921065 Enrollment ID: O20200922002996 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason C Klein, CPNP, ARNP 6800 Nw 39th Expy, Bethany, OK 73008-2513 Ph: (405) 789-6711 | Jason C Klein, CPNP, ARNP 6800 Nw 39th Expy, Bethany, OK 73008-2513 Ph: (405) 789-6711 |
Jessica Wynn Harris, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-349-5145 | |
Bao Nguyen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 | |
Tami Zamudio, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-349-5145 | |
Braden Peterson, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6814 Nw 23rd St, Bethany, OK 73008 Phone: 405-603-1175 | |
Adele Burt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-440-9866 | |
Yvonne R Chambers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7600 Nw 23rd St, Bethany, OK 73008 Phone: 405-792-5330 |