| Relinda Lea Black, APRN-CNP | |
|
610 E 24th St, Tishomingo, OK 73460-3245 | |
| (580) 371-2343 | |
| (580) 371-3170 |
| Full Name | Relinda Lea Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 610 E 24th St, Tishomingo, 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 |
|---|---|---|---|
| 1285297598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 96629 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R0096629 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williams Medical Group Practice, Llc | 3375832157 | 162 |
| Entity Name | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Relinda Lea Black, APRN-CNP 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343 | Relinda Lea Black, APRN-CNP 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343 |
Una Lorraine Mcelhany, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-2451 | |
Courtney Alisha Airington, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-371-2392 | |
Tasha Cummins, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-3614 | |
Jessica D Pickens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-2451 | |
Ashley Nicole Stites, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 W Main St, Tishomingo, OK 73460 Phone: 580-774-3548 Fax: 580-387-5031 | |
Linda Faye Richardson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E 24th St, Tishomingo, OK 73460 Phone: 580-371-2343 Fax: 580-371-3614 |