| Tracy Mast, APRN | |
|
1908 N 14th St Ste 104, Ponca City, OK 74601-2049 | |
| (580) 765-0212 | |
| (580) 763-0873 |
| Full Name | Tracy Mast |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1908 N 14th St Ste 104, Ponca City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710362538 | NPI | - | NPPES |
| 200674180A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | R0090312 (Oklahoma) | Primary |
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Mast, APRN 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (580) 765-0212 | Tracy Mast, APRN 1908 N 14th St Ste 104, Ponca City, OK 74601-2049 Ph: (580) 765-0212 |
Courtney Dawn Beck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Virginia Ave, Ponca City, OK 74601 Phone: 580-767-1300 | |
Joanna Gayle Potter, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 Trio Ln, Ponca City, OK 74604 Phone: 580-763-7608 | |
Mrs. Orele Shananae Ferguson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 Fax: 580-765-0984 | |
Mrs. Brenda Lee Peters, A.R.N.P. & C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Fairview Ave Ste 100, Ponca City, OK 74601 Phone: 580-765-5569 Fax: 580-765-2020 | |
Dawn Brown, APRN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 N 14th St Ste 114, Ponca City, OK 74601 Phone: 580-762-2366 Fax: 580-765-0899 | |
Scarlett Nicole Virden, APRN FNPC, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911 | |
Mrs. Brittany Dawn Beier, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 N 14th St. #114, Ponca City, OK 74601 Phone: 580-762-1552 |