| Phillip Craig Hatley, APRN, CNP | |
|
908 N Rockford Rd, Ardmore, OK 73401-2540 | |
| (580) 223-0447 | |
| (580) 223-2989 |
| Full Name | Phillip Craig Hatley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 908 N Rockford Rd, Ardmore, 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 |
|---|---|---|---|
| 1407448988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 200220 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williams Medical Group Practice, Llc | 3375832157 | 162 |
| Baha Al Deen Abuesheh Md Pc | 4183623218 | 7 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Integrated Medical Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487837456 PECOS PAC ID: 4587886593 Enrollment ID: O20141106001718 |
| 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 |
|---|---|
| Phillip Craig Hatley, APRN, CNP 306 Hidden Path, Ardmore, OK 73401-5576 Ph: (580) 504-5467 | Phillip Craig Hatley, APRN, CNP 908 N Rockford Rd, Ardmore, OK 73401-2540 Ph: (580) 223-0447 |
Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009 | |
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Toni Headstream, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401 Phone: 254-485-0338 | |
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427 | |
Jodi Robinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Walnut Dr Ste 2, Ardmore, OK 73401 Phone: 580-226-8310 Fax: 580-223-3911 | |
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989 | |
Dana Michelle Herring, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 12th Ave Nw, Ardmore, OK 73401 Phone: 580-798-0234 |