| Scott Nicholson, PA | |
|
1 S Bryant Ave, Edmond, OK 73034-6309 | |
| (405) 341-6100 | |
| Not Available |
| Full Name | Scott Nicholson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1 S Bryant Ave, Edmond, 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 |
|---|---|---|---|
| 1033562673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2676 (Oklahoma) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2676 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stillwater Medical Center Authority | 2365353794 | 155 |
| 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 | Stillwater Medical Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
| Entity Name | Stigler Health and Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891752853 PECOS PAC ID: 8022061373 Enrollment ID: O20050715000025 |
| Entity Name | The Center for Therapeutic Interventions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831439066 PECOS PAC ID: 1759511827 Enrollment ID: O20140311001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Nicholson, PA 7477 E 46th Pl, Tulsa, OK 74145-6305 Ph: (918) 384-0002 | Scott Nicholson, PA 1 S Bryant Ave, Edmond, OK 73034-6309 Ph: (405) 341-6100 |
Alyx Parrott, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 W 15th St, Edmond, OK 73013 Phone: 405-359-0551 |
Haydan Heuermann, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2017 W I 35 Frontage Rd, Edmond, OK 73013 Phone: 405-757-3610 |
Lauren Rae Wheeler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2017 W I 35 Frontage Rd Ste 140, Edmond, OK 73013 Phone: 405-757-3710 Fax: 405-757-3711 |
Treka B Wenner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 46 E 15th St, Edmond, OK 73013 Phone: 405-844-5210 |
Mark Patrick Stout, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18503 N Portland Ave, Edmond, OK 73012 Phone: 405-531-4273 Fax: 405-531-4274 |
Mrs. Tanya M Keck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16205 N Pennsylvania Ave, Access Medical Centers, Edmond, OK 73013 Phone: 405-705-5700 Fax: 405-705-5698 |
Taylor L Beaird, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 |