| Taylor Renee Russell, | |
|
1202 W Cherokee St Ste E, Wagoner, OK 74467-4629 | |
| (918) 485-1877 | |
| Not Available |
| Full Name | Taylor Renee Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1202 W Cherokee St Ste E, Wagoner, 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 |
|---|---|---|---|
| 1881271864 | NPI | - | NPPES |
| 200979620A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201054 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wagoner Community Hospital | Wagoner, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagoner Hospital Authority | 0042217531 | 19 |
| Entity Name | Wagoner Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Renee Russell, 1202 W Cherokee St Ste E, Wagoner, OK 74467-4629 Ph: (918) 485-1877 | Taylor Renee Russell, 1202 W Cherokee St Ste E, Wagoner, OK 74467-4629 Ph: (918) 485-1877 |
Tabatha Truelove, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 210-685-2532 | |
Virginia D Lindsey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 N Pierce Ave, Wagoner, OK 74467 Phone: 918-485-3022 Fax: 918-425-2799 | |
Ernest Kaara Maina, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 918-509-4440 Fax: 918-509-4467 | |
Mackenzie Noelle Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1103 W Cherokee St, Wagoner, OK 74467 Phone: 918-509-4440 Fax: 918-509-4677 | |
Hazel Louise Reel, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1317 S Dewey Ave, Wagoner, OK 74467 Phone: 918-485-9696 Fax: 918-485-1701 | |
Juliette Kross, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Mulberry St, Wagoner, OK 74467 Phone: 539-215-4303 |