| Jeremy G Tanner, APN | |
|
3400 W Tecumseh Rd, 100, Norman, OK 73072-1810 | |
| (405) 307-6900 | |
| (405) 307-6906 |
| Full Name | Jeremy G Tanner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 3400 W Tecumseh Rd, Norman, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275874026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 0090470 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Immediate Care Of Oklahoma Llc | 2668540774 | 31 |
| Ico Primary Care, Llc | 6901240910 | 4 |
| Entity Name | Immediate Care Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164697694 PECOS PAC ID: 2668540774 Enrollment ID: O20081002000355 |
| Entity Name | Ico Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568144996 PECOS PAC ID: 6901240910 Enrollment ID: O20240219000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy G Tanner, APN 8001 S I 35 Service Rd, Suite 106, Oklahoma City, OK 73149-2906 Ph: (405) 600-6869 | Jeremy G Tanner, APN 3400 W Tecumseh Rd, 100, Norman, OK 73072-1810 Ph: (405) 307-6900 |
Ms. Heidi Gehret Logsdon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 N Porter Ave Ste 100, Norman, OK 73071 Phone: 405-914-4850 | |
Jodi M Dodson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1139 36th Ave Nw, Suite 100, Norman, OK 73072 Phone: 405-217-9997 Fax: 405-307-8520 | |
Mishell J Kerr, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 E Himes St, Norman, OK 73069 Phone: 405-632-6688 | |
Jaime L Mcminn, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Crossroads Blvd Ste 100, Norman, OK 73072 Phone: 405-310-2715 Fax: 405-310-6720 | |
Matthew J Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15951 Little Axe Dr, Norman, OK 73026 Phone: 405-447-0300 | |
Crystal Ann Conley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 Adams Rd Ste 100a, Norman, OK 73069 Phone: 405-655-7157 Fax: 405-807-0011 | |
Megan Rachelle Day, ARNP-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2342 N Interstate Dr, Norman, OK 73072 Phone: 405-310-3113 |