| Lela J Goatley, ARNP | |
|
716 S Highway 77, Newkirk, OK 74647-7009 | |
| (580) 362-2555 | |
| (580) 362-2948 |
| Full Name | Lela J Goatley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 716 S Highway 77, Newkirk, 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 |
|---|---|---|---|
| 1407008816 | NPI | - | NPPES |
| 200418170A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 100973 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 46230 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ponca City Medical Center | Ponca city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairfax Medical Facilities Inc | 4284663360 | 16 |
| Entity Name | Fairfax Medical Facilities Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538183173 PECOS PAC ID: 4284663360 Enrollment ID: O20060209000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Lela J Goatley, ARNP 716 S Highway 77, Newkirk, OK 74647-7009 Ph: (580) 362-2555 | Lela J Goatley, ARNP 716 S Highway 77, Newkirk, OK 74647-7009 Ph: (580) 362-2555 |
Janae Miller, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 E River Rd, Newkirk, OK 74647 Phone: 580-362-1039 Fax: 580-362-1467 | |
Melissa Margaret Leven, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 716 S Highway 77, Newkirk, OK 74647 Phone: 580-362-2555 | |
Mary Tinsley, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3151 East River Road, Newkirk, OK 74647 Phone: 580-362-1039 Fax: 580-362-1039 |