| Jennifer Danielle Gouge, | |
|
2036 S Miller Ln, Catoosa, OK 74015-1520 | |
| (918) 739-4552 | |
| Not Available |
| Full Name | Jennifer Danielle Gouge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 2036 S Miller Ln, Catoosa, 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 |
|---|---|---|---|
| 1023590676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 97758 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Grove Hospital | Grove, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williams Medical Group Practice, Llc | 3375832157 | 162 |
| Aspire Health Management Llc | 6305235565 | 7 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Entity Name | Aspire Health Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053984518 PECOS PAC ID: 6305235565 Enrollment ID: O20220214001927 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Danielle Gouge, 1001 E 18th St, Grove, OK 74344-2907 Ph: (918) 786-2243 | Jennifer Danielle Gouge, 2036 S Miller Ln, Catoosa, OK 74015-1520 Ph: (918) 739-4552 |
Mrs. Charlene D Hoover, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5232 N Highway 167, Catoosa, OK 74015 Phone: 918-272-0033 Fax: 918-272-0039 | |
Kelsey Bryden Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 N Highway 66 Ste B, Catoosa, OK 74015 Phone: 918-266-4433 | |
Meagan Kay Meffert, APRN-CNP-,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1818 N.hwy 66 Ste B, Catoosa, OK 74015 Phone: 918-419-0860 | |
Shannon Cherie Nanaeto, MS, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 N Highway 66 Ste G, Catoosa, OK 74015 Phone: 918-260-7631 |