| Courtney Simon, | |
|
471688 Ok-51, Stilwell, OK 74960 | |
| (918) 696-8800 | |
| Not Available |
| Full Name | Courtney Simon |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 3 Years |
| Location | 471688 Ok-51, Stilwell, 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 |
|---|---|---|---|
| 1114663085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3197 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Provider Name | Cherokee Nation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Simon, 400 Greenwood Dr, Tahlequah, OK 74464-4815 Ph: (918) 931-9506 | Courtney Simon, 471688 Ok-51, Stilwell, OK 74960 Ph: (918) 696-8800 |
Dr. Billy Joe Brunk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 816 W Cedar St, Stilwell, OK 74960 Phone: 918-696-6717 Fax: 918-696-6717 | |
Hayden Alexis Harness, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 471688 Sh-51, Stilwell, OK 74960 Phone: 918-696-8800 | |
Brunk Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 816 W Cedar St, Stilwell, OK 74960 Phone: 918-696-6717 Fax: 918-696-6717 |