| Russell Allen Peters, APRN | |
|
138 S. Main St, Afton, OK 74331 | |
| (918) 257-8029 | |
| (918) 257-8042 |
| Full Name | Russell Allen Peters |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 138 S. Main St, Afton, 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 |
|---|---|---|---|
| 1093252439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000020958 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0123709 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Center Of Northeast Oklahoma, Inc | 9133352081 | 5 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Community Health Center Of Northeast Oklahoma, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821410648 PECOS PAC ID: 9133352081 Enrollment ID: O20140610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Allen Peters, APRN 1190 Rynes Rd, Decatur, TN 37322-7420 Ph: (423) 718-8134 | Russell Allen Peters, APRN 138 S. Main St, Afton, OK 74331 Ph: (918) 257-8029 |
Mrs. Gina Marie Francisco, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 138 S Main, Afton, OK 74331 Phone: 918-257-4244 Fax: 918-257-4247 | |
Mrs. Laura Jean Strickland-altom, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26300 S Highway 125, Afton, OK 74331 Phone: 182-578-5859 Fax: 918-257-8560 | |
Melinda K Bailey, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 138 S. Main Street, Afton, OK 74331 Phone: 918-257-8029 Fax: 918-257-8042 | |
Ms. Andrene H Thompson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26300 S Highway 125, Afton, OK 74331 Phone: 918-257-8585 Fax: 918-256-8234 |