| Kisha Marie Farrell, APRN FNP-BC | |
|
119 W Main St, Hominy, OK 74035-1031 | |
| (918) 885-4640 | |
| (918) 885-4644 |
| Full Name | Kisha Marie Farrell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 119 W Main St, Hominy, 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 |
|---|---|---|---|
| 1104199470 | NPI | - | NPPES |
| 200418760A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 72827 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Warren Clinic Inc | 8820900293 | 693 |
| Entity Name | Warren Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
| 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 | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Kisha Marie Farrell, APRN FNP-BC 212 N Main St, Fairfax, OK 74637-3023 Ph: (918) 642-3100 | Kisha Marie Farrell, APRN FNP-BC 119 W Main St, Hominy, OK 74035-1031 Ph: (918) 885-4640 |
Mary Kekahbah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 129 Conner Rd, Hominy, OK 74035 Phone: 918-594-1300 | |
Stephanie Ann Durham, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 W Main St, Hominy, OK 74035 Phone: 918-885-4640 Fax: 918-885-4644 | |
Lindsey Hester, APRN, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 W Main St, Hominy, OK 74035 Phone: 918-885-4640 Fax: 918-885-4644 | |
Mrs. Joyce Julia White, FNP, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 S Price Ave, Hominy, OK 74035 Phone: 918-885-1264 Fax: 918-885-1265 | |
Wendy Denise Madison, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 W Main St, Hominy, OK 74035 Phone: 918-885-4640 Fax: 918-885-4644 |