| Taelor Baetz, PA | |
|
415 Fairview Ave Ste 201, Ponca City, OK 74601-1932 | |
| (580) 762-9355 | |
| (580) 762-9358 |
| Full Name | Taelor Baetz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 415 Fairview Ave Ste 201, Ponca City, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881385656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5266 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Health Ponca City | Ponca city, OK | Hospital |
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Stillwater Medical-blackwell | Blackwell, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Ambulatory Care Corporation | 2365408465 | 687 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Taelor Baetz, PA 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (580) 762-9355 | Taelor Baetz, PA 415 Fairview Ave Ste 201, Ponca City, OK 74601-1932 Ph: (580) 762-9355 |
Charles Valgora, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N 14th St, Ste114, Ponca City, OK 74601 Phone: 580-762-1552 Fax: 580-762-1596 |
Lee Halvor Simpson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2225 N Union St., Ponca City, OK 74601 Phone: 918-308-5515 Fax: 580-749-5792 |
Kaitlyn Leah Hill, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911 |
Jenna Specht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2501 N 14th St, Ponca City, OK 74601 Phone: 580-749-5076 |
Parnell Ray Adams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N 14th St, Ste 114, Ponca City, OK 74601 Phone: 580-762-1552 |