| Mr Michael Orlan Lockhart Jr, CRNA | |
|
1200 E Pecan St, Altus, OK 73521-6141 | |
| (580) 379-5860 | |
| (580) 379-5859 |
| Full Name | Mr Michael Orlan Lockhart Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 1200 E Pecan St, Altus, 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 |
|---|---|---|---|
| 1003957945 | NPI | - | NPPES |
| 200580280A | Medicaid | OK | |
| 1674796 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 116396 (Oklahoma) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN071814AP02740 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson County Memorial Hospital Authority | Altus, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson County Memorial Hospital Authority | 1759293178 | 44 |
| Entity Name | Jackson County Memorial Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Orlan Lockhart Jr, CRNA 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 379-5860 | Mr Michael Orlan Lockhart Jr, CRNA 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 379-5860 |
Frances Kay Christopher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-482-4781 Fax: 580-481-2345 | |
Jessica Lanae Poe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 803-795-8605 Fax: 580-379-5859 | |
Mr. Mark Andrew Waterman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 | |
Amanda Jean Werneke, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 Fax: 580-379-5859 | |
Mark Vincent Vadney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-482-4781 Fax: 580-481-2345 | |
Brian Lyle Knight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5000 Fax: 580-379-5509 |