| Tressa Antionette Matchen, ARNP-CNP | |
|
Clinic At 410 Pllc, 410 Hwy 70 Kingston, Ok 73439, Kingston, OK 73439 | |
| (580) 565-9975 | |
| (888) 241-2340 |
| Full Name | Tressa Antionette Matchen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | Clinic At 410 Pllc, Kingston, 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 |
|---|---|---|---|
| 1053774794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71860 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mays Housecall Home Health Of Ada, Llc | Ada, OK | Home health agency |
| Always Better Care Home Health | Durant, OK | Home health agency |
| Integris Marshall County Medical Center | Madill, OK | Hospital |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Entity Name | Marshall County Hma, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356874374 PECOS PAC ID: 5193985653 Enrollment ID: O20120409000632 |
| Entity Name | Clinic At 410 Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144065012 PECOS PAC ID: 5597204420 Enrollment ID: O20240823000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Tressa Antionette Matchen, ARNP-CNP Po Box 1118, Kingston, OK 73439-1118 Ph: (580) 565-9975 | Tressa Antionette Matchen, ARNP-CNP Clinic At 410 Pllc, 410 Hwy 70 Kingston, Ok 73439, Kingston, OK 73439 Ph: (580) 565-9975 |
Toni Mclemore, APRN-CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 21 N Main St, Kingston, OK 73439 Phone: 580-564-7885 Fax: 580-564-7902 | |
Glenda Gene Cross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 N Main St, Kingston, OK 73439 Phone: 580-564-7885 Fax: 580-564-7902 | |
Mrs. Addie Beth Gratz, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 N Main St, Kingston, OK 73439 Phone: 580-564-0500 Fax: 580-564-0250 |