| Nhanhien D Tran, PA-C | |
|
1317 S Dewey Ave, Wagoner, OK 74467-7013 | |
| (918) 485-9696 | |
| (918) 485-1701 |
| Full Name | Nhanhien D Tran |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1317 S Dewey Ave, Wagoner, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518087865 | NPI | - | NPPES |
| 200739590A | Medicaid | KS | |
| 110990040 | Other | MEDICARE (VIA CHRIST) | |
| OKB0019 | Other | OK | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1501107 (Kansas) | Primary |
| Entity Name | Rural Wellness Fairfax Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295362564 PECOS PAC ID: 3678904752 Enrollment ID: O20200505000462 |
| Entity Name | Rural Wellness Fairfax Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295362564 PECOS PAC ID: 3678904752 Enrollment ID: O20200506001548 |
| Entity Name | Rural Wellness Anadarko Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538825120 PECOS PAC ID: 3274926100 Enrollment ID: O20220216002693 |
| Mailing Address | Practice Location Address |
|---|---|
| Nhanhien D Tran, PA-C 509 Nw 9th St, Wagoner, OK 74467-2305 Ph: (316) 516-4895 | Nhanhien D Tran, PA-C 1317 S Dewey Ave, Wagoner, OK 74467-7013 Ph: (918) 485-9696 |
Lauren B Quick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1520 Sw 1st St, Wagoner, OK 74467 Phone: 918-727-2790 |
Toni Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-1316 |
Jalyssa Ericka Valencia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2109 S Highway 69, Wagoner, OK 74467 Phone: 918-485-6069 |