| Mr Timothy Ray Olive, ARNP | |
|
2011 N Broadway St, Poteau, OK 74953-2642 | |
| (918) 647-7416 | |
| (918) 647-3508 |
| Full Name | Mr Timothy Ray Olive |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 2011 N Broadway St, Poteau, 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 |
|---|---|---|---|
| 1033418439 | NPI | - | NPPES |
| 77830 | Other | OK | NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 77830 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Compassion Home Care, Inc | Stigler, OK | Home health agency |
| Gateway Home Health Care | Poteau, OK | Home health agency |
| Green Country Home Care, Inc | Mcalester, OK | Home health agency |
| Traditions Home Care, Inc | Mcalester, OK | Home health agency |
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Eastern Oklahoma Medical Center | Poteau, OK | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20111004000298 |
| Entity Name | Family First Medical Clinic Aprn-cnp Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871920777 PECOS PAC ID: 2062649189 Enrollment ID: O20131217001828 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Ray Olive, ARNP 2011 N Broadway St, Poteau, OK 74953-2642 Ph: (918) 647-7416 | Mr Timothy Ray Olive, ARNP 2011 N Broadway St, Poteau, OK 74953-2642 Ph: (918) 647-7416 |
Lois L Gotes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1013 Dewey Ave, Poteau, OK 74953 Phone: 918-647-2929 Fax: 918-647-2288 | |
Jeanne R Guinn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Wall St Ste A, Poteau, OK 74953 Phone: 918-647-2155 Fax: 918-967-4582 | |
Tracy Leann Morgan, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 S Broadway Ave Ste 5, Poteau, OK 74953 Phone: 918-210-0167 Fax: 918-564-2719 | |
Mrs. Kimberly Kay Cobb, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Robert St, Poteau, OK 74953 Phone: 918-649-0069 Fax: 918-649-0067 | |
Emily L Harrah, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Tarby Rd, Poteau, OK 74953 Phone: 918-647-2155 Fax: 918-647-4095 | |
Jason Tyler Gordon Graham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wall St, Poteau, OK 74953 Phone: 918-635-3508 Fax: 918-635-3550 |