| Jessica Jenae Acosta-van Den Berg, APRN-CNP | |
|
10321 N 2274 Rd, Clinton, OK 73601-7521 | |
| (580) 331-3300 | |
| (580) 323-2579 |
| Full Name | Jessica Jenae Acosta-van Den Berg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10321 N 2274 Rd, Clinton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922404888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 96005 (Oklahoma) | Primary |
| Entity Name | Haskell Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700915782 PECOS PAC ID: 3577475664 Enrollment ID: O20031105000779 |
| Entity Name | Watonga Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001 |
| Entity Name | Clinton Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Jenae Acosta-van Den Berg, APRN-CNP 10321 N 2274 Rd, Clinton, OK 73601-7521 Ph: (580) 331-3300 | Jessica Jenae Acosta-van Den Berg, APRN-CNP 10321 N 2274 Rd, Clinton, OK 73601-7521 Ph: (580) 331-3300 |
Lindsay Dlugonski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 545 S. 30th Street, Clinton, OK 73601 Phone: 580-547-4087 Fax: 580-275-2838 | |
Jessica Simmons, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2276 | |
Ashley Dawn Morris, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2276 | |
Michelle Renee Tippeconnic, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10321 N 2274 Rd, Clinton, OK 73601 Phone: 405-274-7708 | |
Mrs. Ginger Lynn Woodall, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2276 | |
Melissa Torres Coons, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3140 W. Hayes, Clinton, OK 73601 Phone: 580-323-1937 | |
Mrs. Kim E Short, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3030 Custer Ave, Clinton, OK 73601 Phone: 580-323-2100 Fax: 580-323-2282 |