| Jason Clemons, | |
|
304 S 29th St, Chickasha, OK 73018-2501 | |
| (058) 968-0584 | |
| (855) 223-1999 |
| Full Name | Jason Clemons |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 304 S 29th St, Chickasha, 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 |
|---|---|---|---|
| 1548678139 | NPI | - | NPPES |
| 1548678139 | Other | OK | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 73444 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 73444 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ennoble Hc Nj Pc | 0345638185 | 82 |
| Community Nursing Center Of Okc, Llc | 9032471131 | 10 |
| Entity Name | Physician Housecalls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528480811 PECOS PAC ID: 0648400903 Enrollment ID: O20140306000111 |
| Entity Name | Community Nursing Center Of Okc, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881101459 PECOS PAC ID: 9032471131 Enrollment ID: O20180402000063 |
| Entity Name | On-site Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619735222 PECOS PAC ID: 5294277158 Enrollment ID: O20240606001861 |
| Entity Name | Ennoble Hc Nj Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306500764 PECOS PAC ID: 0345638185 Enrollment ID: O20240910002533 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Clemons, Po Box 929, Chickasha, OK 73023-0929 Ph: (405) 896-8058 | Jason Clemons, 304 S 29th St, Chickasha, OK 73018-2501 Ph: (058) 968-0584 |
Alisa Tarasova, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 058-968-0584 Fax: 855-223-1999 | |
Ms. Kaletha Lynell Hightower, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Texas Ave, Chickasha, OK 73018 Phone: 405-604-7995 | |
Kimberly Schat, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 W Chickasha Ave, Chickasha, OK 73018 Phone: 405-892-8423 | |
Jerrus Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2244 | |
Sara Buster, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-816-8058 Fax: 855-223-1999 | |
Heather Michelle Rowell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-0053 | |
Martina Miner, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 |