| Preston Lowell Pruett, FNP-C | |
|
1011 Honor Heights Dr, Muskogee, OK 74401-1318 | |
| (918) 577-3035 | |
| Not Available |
| Full Name | Preston Lowell Pruett |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1011 Honor Heights Dr, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942892146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 200625 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 200625 (Oklahoma) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Entity Name | Green Country Emergency Physicians Group Of Tulsa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20061021000024 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Entity Name | Emergency Medicine Physicians Of Tulsa County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003098773 PECOS PAC ID: 8628140225 Enrollment ID: O20080626000116 |
| 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 |
|---|---|
| Preston Lowell Pruett, FNP-C 1011 Honor Heights Dr, Muskogee, OK 74401-1318 Ph: () - | Preston Lowell Pruett, FNP-C 1011 Honor Heights Dr, Muskogee, OK 74401-1318 Ph: (918) 577-3035 |
Elizabeth Walrath, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Chandler Rd Ste 107, Muskogee, OK 74403 Phone: 918-948-6360 | |
Ifeoma Nneka Mozie, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 S 40th St, Muskogee, OK 74401 Phone: 918-683-0753 Fax: 918-683-5677 | |
Sasha Lounmala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Honor Heights Dr # 118, Muskogee, OK 74401 Phone: 918-348-2236 | |
Courtney Roberts, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 | |
Mrs. Alef Nancy Graham, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Kendra Diane Round, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 Fax: 539-239-5249 | |
Mrs. Lanise Jamerson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3000 |