| Mr Justin Don Cole, | |
|
3325 S 204th East Ave, Broken Arrow, OK 74014-5165 | |
| (918) 955-1907 | |
| Not Available |
| Full Name | Mr Justin Don Cole |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3325 S 204th East Ave, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790211795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 82942 (Oklahoma) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Entity Name | Hiv Resource Consortium, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346528718 PECOS PAC ID: 7416389200 Enrollment ID: O20191116000002 |
| Entity Name | At Home By Choice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497170609 PECOS PAC ID: 5890110456 Enrollment ID: O20200729000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Don Cole, 2000 S Wheeling Ave, Ste 701, Tulsa, OK 74104-5647 Ph: (918) 748-7810 | Mr Justin Don Cole, 3325 S 204th East Ave, Broken Arrow, OK 74014-5165 Ph: (918) 955-1907 |
Carmen Kay Oakes, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012 Phone: 918-237-9627 | |
Cathleen Diane Griffin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 W Oakland St, Broken Arrow, OK 74012 Phone: 918-251-2666 | |
Mrs. Kristi Gene Sager, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-693-0834 | |
Amanda Skvortsov, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Commercial St, Broken Arrow, OK 74012 Phone: 918-887-8300 | |
Ms. Kyndal Renee' Stevens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-0414 | |
Ms. Mary Constance Starr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-2952 | |
Ms. Jamie Larie Kitchens, DNP, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-455-0414 |