| Kayla Diane Hardesty, PA-C, PT | |
|
511 Windsor Dr, Stillwater, OK 74074-6962 | |
| (405) 707-0900 | |
| Not Available |
| Full Name | Kayla Diane Hardesty |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 511 Windsor Dr, Stillwater, 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 |
|---|---|---|---|
| 1801075262 | NPI | - | NPPES |
| 200215910A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1686 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Bibb Md Pllc | 4789715285 | 71 |
| Stillwater Medical Center Authority | 2365353794 | 155 |
| Entity Name | Stillwater Medical Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Oklahoma Emergency Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
| Entity Name | Bradley Bibb MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194572040 PECOS PAC ID: 4789715285 Enrollment ID: O20240520001147 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Diane Hardesty, PA-C, PT Po Box 720006, Norman, OK 73070-4006 Ph: (405) 707-0900 | Kayla Diane Hardesty, PA-C, PT 511 Windsor Dr, Stillwater, OK 74074-6962 Ph: (405) 707-0900 |
Erin Renee Gutierrez, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave Ste 108, Stillwater, OK 74074 Phone: 405-533-1695 |
Elizabeth Renee Jackson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 W 6th Ave, Stillwater, OK 74074 Phone: 405-533-1074 |
Elizabeth Nieman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Shadow Creek Ln, Stillwater, OK 74074 Phone: 405-714-2843 |
Melanie D. Harrison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 |
Kenda Gale Baker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1329 S Sangre Rd, Stillwater, OK 74074 Phone: 405-372-7575 Fax: 405-533-1093 |
Sarah Yeakley Demuth, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-352-2098 Fax: 405-372-4685 |
Christen Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 511 Windsor Dr, Stillwater, OK 74074 Phone: 405-707-0900 |