| Shannon Renee Brady-bardsher, ARNP | |
|
2220 W Iowa Ave, Chickasha, OK 73018-2738 | |
| (405) 779-2834 | |
| Not Available |
| Full Name | Shannon Renee Brady-bardsher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2220 W Iowa Ave, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316211600 | NPI | - | NPPES |
| 200452510A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 83612 (Oklahoma) | Primary |
| Entity Name | Grady Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
| Entity Name | Grady Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164859260 PECOS PAC ID: 0648175778 Enrollment ID: O20150520000323 |
| Entity Name | Total Wound Care Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972269033 PECOS PAC ID: 1254724081 Enrollment ID: O20220131001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Renee Brady-bardsher, ARNP 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 779-2834 | Shannon Renee Brady-bardsher, ARNP 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 779-2834 |
Alisa Tarasova, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 058-968-0584 Fax: 855-223-1999 | |
Taylor A Harrison, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1928 S 4th St, Chickasha, OK 73018 Phone: 405-224-6700 | |
Ms. Kaletha Lynell Hightower, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Texas Ave, Chickasha, OK 73018 Phone: 405-604-7995 | |
Kimberly Schat, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 W Chickasha Ave, Chickasha, OK 73018 Phone: 405-892-8423 | |
Jerrus Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2244 | |
Sara Buster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-816-8058 Fax: 855-223-1999 | |
Heather Michelle Rowell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-0053 |