| Kimberly Michell Scaggs, AGACNP | |
|
430 N Monte Vista St, Ada, OK 74820-4657 | |
| (580) 332-2323 | |
| (580) 421-1384 |
| Full Name | Kimberly Michell Scaggs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 430 N Monte Vista St, Ada, 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 |
|---|---|---|---|
| 1144077553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 217660 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Michell Scaggs, AGACNP 5630 Triple L Rd, Davis, OK 73030-9486 Ph: (580) 618-2413 | Kimberly Michell Scaggs, AGACNP 430 N Monte Vista St, Ada, OK 74820-4657 Ph: (580) 332-2323 |
Akilah Talibah Dunn, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd., Ada, OK 74820 Phone: 580-436-3980 | |
Mrs. Linda Louise Spooner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2330 Arlington St, Ada, OK 74820 Phone: 580-332-2011 Fax: 580-332-9537 | |
Dr. Tosha Lucille Wilson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9989 | |
Qiong Mu Ross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 | |
Robin M Losee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Michelle Ann Cole, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9899 Fax: 580-310-9818 | |
Shari M Rhodes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Arlington St Ste F, Ada, OK 74820 Phone: 580-279-1788 |