| Tara Miranda Lewis, PA-C | |
|
2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | |
| (580) 226-8181 | |
| Not Available |
| Full Name | Tara Miranda Lewis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2510 Chickasaw Blvd, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962682104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1659 (Oklahoma) | Primary |
| Entity Name | Long Term Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497761159 PECOS PAC ID: 3476550740 Enrollment ID: O20061030000218 |
| Entity Name | Mercy Hospital Healdton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568615656 PECOS PAC ID: 3375610447 Enrollment ID: O20090205000358 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Miranda Lewis, PA-C 1925 Warrior Way, Ada, OK 74820-3491 Ph: (580) 421-4570 | Tara Miranda Lewis, PA-C 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 Ph: (580) 226-8181 |
Rhea Michelle Buycks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 317 N Rockford Rd, Ardmore, OK 73401 Phone: 580-319-4242 Fax: 580-798-4612 |
Shawn Fadum, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 |
Roldon Sanchez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite B, Ardmore, OK 73401 Phone: 580-223-4795 Fax: 580-223-5184 |
Andrea Ann Bean, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 |
Robert Dean Hanna, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1505 N Commerce St, Ste 203, Ardmore, OK 73401 Phone: 580-223-6555 Fax: 580-226-4617 |
Bradley Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 Carter St Se, Ardmore, OK 73401 Phone: 580-504-9468 |
Nathan Daniel Murray, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6658 Fax: 580-220-6673 |