| Katie Dickey, PA-C | |
|
20826 Main St, Harrah, OK 73045-9756 | |
| (405) 605-5415 | |
| Not Available |
| Full Name | Katie Dickey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 20826 Main St, Harrah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689947210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2123 (Oklahoma) | Primary |
| Entity Name | Tulsa Emergency Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063479087 PECOS PAC ID: 3375442692 Enrollment ID: O20040106000606 |
| 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 | Medical Resource Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
| 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 |
|---|---|
| Katie Dickey, PA-C Po Box 405457, Atlanta, GA 30384-5457 Ph: Not Available | Katie Dickey, PA-C 20826 Main St, Harrah, OK 73045-9756 Ph: (405) 605-5415 |
Angela Diane Bartlow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20826 Main St, Harrah, OK 73045 Phone: 405-454-2404 Fax: 405-454-6371 |
Suzanne Tarver, Physician Assistant Medicare: Medicare Enrolled Practice Location: 20826 Main St, Harrah, OK 73045 Phone: 405-454-2404 |