| Kandice Danielle Haines, APRN-CNP | |
|
511 E 1st St, Chandler, OK 74834-2439 | |
| (405) 654-0013 | |
| (405) 654-0012 |
| Full Name | Kandice Danielle Haines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 511 E 1st St, Chandler, 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 |
|---|---|---|---|
| 1306504964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 205816 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Healthcare Llc | 6103251988 | 4 |
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Entity Name | Peterson Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609414168 PECOS PAC ID: 6103251988 Enrollment ID: O20200124001837 |
| Entity Name | Darsco Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922644061 PECOS PAC ID: 2163851478 Enrollment ID: O20200408001978 |
| Entity Name | Sunnylane Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255922811 PECOS PAC ID: 0042608820 Enrollment ID: O20211027002677 |
| Mailing Address | Practice Location Address |
|---|---|
| Kandice Danielle Haines, APRN-CNP 511 E 1st St, Chandler, OK 74834-2439 Ph: (405) 654-0013 | Kandice Danielle Haines, APRN-CNP 511 E 1st St, Chandler, OK 74834-2439 Ph: (405) 654-0013 |
Olaide Olufunmilayo Owoloye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1920 E 1st St Ste F, Chandler, OK 74834 Phone: 405-654-0013 | |
Janena Grace Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 Manvel Ave, Chandler, OK 74834 Phone: 405-258-9955 Fax: 405-258-9930 | |
Arika L Smith, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 E 1st St, Chandler, OK 74834 Phone: 405-654-0013 Fax: 405-654-0012 | |
Nadine F Touayem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 E 1st St, Chandler, OK 74834 Phone: 405-654-0013 Fax: 405-654-0012 |