| Misti Ballew, | |
|
3520 Chandler Rd, Muskogee, OK 74403-4910 | |
| (918) 478-6005 | |
| (918) 682-8321 |
| Full Name | Misti Ballew |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3520 Chandler Rd, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821481334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 91434 (Oklahoma) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Misti Ballew, Po Box 751, Hulbert, OK 74441-0751 Ph: (918) 772-3390 | Misti Ballew, 3520 Chandler Rd, Muskogee, OK 74403-4910 Ph: (918) 478-6005 |
Elizabeth Walrath, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Chandler Rd Ste 107, Muskogee, OK 74403 Phone: 918-948-6360 | |
Ifeoma Nneka Mozie, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 S 40th St, Muskogee, OK 74401 Phone: 918-683-0753 Fax: 918-683-5677 | |
Sasha Lounmala, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr # 118, Muskogee, OK 74401 Phone: 918-348-2236 | |
Courtney Roberts, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 | |
Mrs. Alef Nancy Graham, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Kendra Diane Round, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 Fax: 539-239-5249 | |
Mrs. Lanise Jamerson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3000 |