| Mr Reggie Darnell Pennypacker, APRN-CNP | |
|
3125 Brookwood Ave, Duncan, OK 73533-1362 | |
| (580) 786-4018 | |
| (580) 786-4021 |
| Full Name | Mr Reggie Darnell Pennypacker |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 3125 Brookwood Ave, Duncan, 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 |
|---|---|---|---|
| 1275960304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 76980 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 76980 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Health Watch Health Care Of Duncan, Llc | Duncan, OK | Home health agency |
| Duncan Regional Hospital Homecare | Duncan, OK | Home health agency |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Jefferson County Hospital | Waurika, OK | Hospital |
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reggie Pennypacker, Aprn-cnp, Pllc | 2668708371 | 3 |
| Entity Name | Oklahoma Emergency Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
| Entity Name | Reggie Pennypacker, Aprn-cnp, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013578954 PECOS PAC ID: 2668708371 Enrollment ID: O20190801001353 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Reggie Darnell Pennypacker, APRN-CNP 3125 Brookwood Ave, Duncan, OK 73533-1362 Ph: (580) 786-4018 | Mr Reggie Darnell Pennypacker, APRN-CNP 3125 Brookwood Ave, Duncan, OK 73533-1362 Ph: (580) 786-4018 |
Crystal Carol Kizarr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 N Harville Rd, Duncan, OK 73533 Phone: 580-252-1373 Fax: 580-252-8336 | |
Molli Elizabeth Emerson, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2845 W Elk Ave, Duncan, OK 73533 Phone: 580-255-9797 Fax: 855-608-6602 | |
Brett Sarita Jon Locke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2845 W Elk Ave Bldg 100, Duncan, OK 73533 Phone: 580-255-9797 | |
Ms. Kim Raye Holland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Elk Ave, Duncan, OK 73533 Phone: 580-251-6644 Fax: 580-251-6645 | |
Angela Tiana Essary, APNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1334 N Harville Rd, Duncan, OK 73533 Phone: 405-278-8006 | |
Shelby Nicole Wilmes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2560 W Elk Ave, Duncan, OK 73533 Phone: 802-529-6005 |