| Nelson Simba Ogembo, FNP-C | |
|
1 Wickersham St, Mangum, OK 73554-9117 | |
| (580) 782-3353 | |
| Not Available |
| Full Name | Nelson Simba Ogembo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1 Wickersham St, Mangum, 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 |
|---|---|---|---|
| 1336891381 | NPI | - | NPPES |
| 217141 | Other | OK | OKLAHOMA BOARD OF NURSING |
| 201250440A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 217141 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Triad Home Health, Llc | Mangum, OK | Home health agency |
| Mangum Regional Medical Center | Mangum, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mangum City Hospital Authority | 6305119942 | 8 |
| Entity Name | Mangum City Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033635263 PECOS PAC ID: 6305119942 Enrollment ID: O20181020000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Simba Ogembo, FNP-C 116 E Pierce St Ste 500, Mangum, OK 73554-4206 Ph: (972) 693-0734 | Nelson Simba Ogembo, FNP-C 1 Wickersham St, Mangum, OK 73554-9117 Ph: (580) 782-3353 |
Patrecia Ann Fite, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 Phone: 580-782-5531 | |
Kathren Leigh Webb, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 | |
Patricia Anne Burks, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 | |
Ashley Brooke Slaton, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-3393 Fax: 580-782-3395 |