| Mrs Mary Anne Derrico, APRN-CNP | |
|
13631 Ne Townley Rd, Elgin, OK 73538-3705 | |
| (580) 512-0746 | |
| (580) 250-0506 |
| Full Name | Mrs Mary Anne Derrico |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 13631 Ne Townley Rd, Elgin, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245581974 | NPI | - | NPPES |
| 45113 | Other | OK | OKLAHOMA STATE BUREAU OF NARCOTICS AND DANGEROUS DRUG CONTROL REGISTRATION NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 49043 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Victory Home Health, Llc | Elgin, OK | Home health agency |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Entity Name | Carnegie Tri-county Municipal Hospital Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275657017 PECOS PAC ID: 6800835935 Enrollment ID: O20050429000480 |
| Entity Name | Xgto Urgent Medical Of Lawton, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891027371 PECOS PAC ID: 4789863267 Enrollment ID: O20110131000222 |
| Entity Name | House Calls Direct Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548875545 PECOS PAC ID: 2365854544 Enrollment ID: O20201211000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Anne Derrico, APRN-CNP 13631 Ne Townley Rd, Elgin, OK 73538-3705 Ph: (580) 512-0746 | Mrs Mary Anne Derrico, APRN-CNP 13631 Ne Townley Rd, Elgin, OK 73538-3705 Ph: (580) 512-0746 |
Mercedes Sherrell Anderson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: Po Box 47, Elgin, OK 73538 Phone: 501-722-3902 | |
Ms. Starr M Paul, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7936 Us Highway 277, Elgin, OK 73538 Phone: 580-492-6900 Fax: 580-492-6902 | |
Ms. Julie Dawn Milburn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11269 Ne Jere Layne, Elgin, OK 73538 Phone: 405-488-7715 | |
Brian Clayton Moore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8148 State Highway 17, Elgin, OK 73538 Phone: 580-454-2273 | |
Mary Catherine Scott, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7936 Us Highway 277, Elgin, OK 73538 Phone: 580-493-6900 Fax: 580-492-6902 |