| Mr Jeremy Michael Hurford, PA-C | |
|
124 N 6th St, Okeene, OK 73763-9135 | |
| (580) 833-4404 | |
| (580) 822-4403 |
| Full Name | Mr Jeremy Michael Hurford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 124 N 6th St, Okeene, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669845772 | NPI | - | NPPES |
| 471025ZL9Z | Other | OK | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2599 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Okeene Municipal Hospital | Okeene, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dynamic Wound Care Llc | 0143674465 | 17 |
| Entity Name | Okeene Municipal Hospital and Schallmo Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053478024 PECOS PAC ID: 3971583535 Enrollment ID: O20050212000003 |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Mercy Oklahoma Ambulatory Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922509173 PECOS PAC ID: 9830447036 Enrollment ID: O20180803002054 |
| Entity Name | Dynamic Wound Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598541427 PECOS PAC ID: 0143674465 Enrollment ID: O20230920002667 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Michael Hurford, PA-C Po Box 389, Okeene, OK 73763-0389 Ph: (580) 822-4404 | Mr Jeremy Michael Hurford, PA-C 124 N 6th St, Okeene, OK 73763-9135 Ph: (580) 833-4404 |
Mrs. Amy Lee Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 124 N 6th St, Okeene, OK 73763 Phone: 580-822-4404 Fax: 580-822-4403 |
Thomas Clayton Sander, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 E F St, Okeene, OK 73763 Phone: 580-822-4337 |