| Jesse Hart, PA-C | |
|
3400 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4493 | |
| (405) 713-9900 | |
| (405) 713-9920 |
| Full Name | Jesse Hart |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3400 Nw Expressway, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962707372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1972 (Oklahoma) | Primary |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Hart, PA-C 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 Ph: (405) 713-9900 | Jesse Hart, PA-C 3400 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4493 Ph: (405) 713-9900 |
Mr. Kevin J Maxwell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103 Phone: 405-600-6730 Fax: 405-600-6750 |
Nicole Lee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 |
Angie Rachel Thomas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-514-5640 |
Stephanie Ann Stephens, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134 Phone: 405-749-2765 Fax: 405-749-6209 |
Brynn Perkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 535 Nw 9th St Ste 235, Oklahoma City, OK 73102 Phone: 405-772-4338 Fax: 405-772-4339 |
Mrs. Bailey Reann Willis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St # 2e, Oklahoma City, OK 73104 Phone: 405-271-7001 |
Marcia R Palmer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-713-4740 Fax: 405-713-2974 |