| Lacy Garrison, APRN | |
|
111 S Alabama Ave, Okmulgee, OK 74447-5038 | |
| (918) 756-2800 | |
| Not Available |
| Full Name | Lacy Garrison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 111 S Alabama Ave, Okmulgee, 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 |
|---|---|---|---|
| 1366086076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F09191574 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prophylaxis Healthcare Llc | 3072784289 | 26 |
| Entity Name | Prophylaxis Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Garrison, APRN 111 S Alabama Ave, Okmulgee, OK 74447-5038 Ph: () - | Lacy Garrison, APRN 111 S Alabama Ave, Okmulgee, OK 74447-5038 Ph: (918) 756-2800 |
Jearlyn Kay Nick, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 S Belmont Ave, Suite 101, Okmulgee, OK 74447 Phone: 918-759-2200 Fax: 918-759-2206 | |
Brianna George, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 E 8th St, Okmulgee, OK 74447 Phone: 918-756-3114 | |
Amanda Lynne Doane, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 E 8th St, Okmulgee, OK 74447 Phone: 918-756-3114 | |
Stephanie M Moses, APRN-CNP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Dr R Alexander Dr., Okmulgee, OK 74447 Phone: 918-756-4233 | |
Shawn Lynn Howell, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15495 N 247 Rd, Okmulgee, OK 74447 Phone: 918-733-1351 | |
Penni Young Garland, RNC, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 S Belmont Ave, Ste. 105, Okmulgee, OK 74447 Phone: 918-756-2533 Fax: 918-756-9588 |