| Marco Nmn Criscione, NP | |
|
512 N Franklin St, Jenks, OK 74037-2489 | |
| (918) 582-6200 | |
| Not Available |
| Full Name | Marco Nmn Criscione |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 512 N Franklin St, Jenks, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134645922 | NPI | - | NPPES |
| 0103010 | Other | OK | LICENSE |
| 2M8551 | Other | OK | MEDICARE |
| 200741260A | Medicaid | OK |
| Entity Name | The Spine and Pain Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689144602 PECOS PAC ID: 6002152220 Enrollment ID: O20190109001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Nmn Criscione, NP 512 N Franklin St, Jenks, OK 74037-2489 Ph: (918) 582-6200 | Marco Nmn Criscione, NP 512 N Franklin St, Jenks, OK 74037-2489 Ph: (918) 582-6200 |
Jacqlyn Nicole Hurst, APRN-PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 W Main St, Jenks, OK 74037 Phone: 918-745-0501 |
Ms. Rebecca J. Berman, MSN, APRNBC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 W Main St Ste S, Jenks, OK 74037 Phone: 918-745-0501 Fax: 918-747-9778 |
Allison Janiece Asbill, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 S Elm St Ste 200, Jenks, OK 74037 Phone: 918-403-7144 |
Mrs. Mary Abraham, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11916 S Cedar Ct, Jenks, OK 74037 Phone: 832-818-7645 |
Mrs. Cortney Ranae Reed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 E Main St, Jenks, OK 74037 Phone: 918-298-5437 Fax: 918-298-5438 |
Priscilla Rashelle Phelps, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 S Elm St # 101, Jenks, OK 74037 Phone: 918-403-7146 Fax: 918-403-7169 |
Lynn Ann Tudor, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1239 W Main St, Jenks, OK 74037 Phone: 918-291-0004 Fax: 918-296-3911 |