| Edelyn O Conrad, PT | |
|
9041 Nw 118th St, Yukon, OK 73099-8942 | |
| (918) 200-5661 | |
| Not Available |
| Full Name | Edelyn O Conrad |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 38 Years |
| Location | 9041 Nw 118th St, Yukon, 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 |
|---|---|---|---|
| 1619088259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1913 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Edelyn O Conrad, PT 9041 Nw 118th St, Yukon, OK 73099-8942 Ph: (918) 200-5661 | Edelyn O Conrad, PT 9041 Nw 118th St, Yukon, OK 73099-8942 Ph: (918) 200-5661 |
Miss Emily Michelle Worsham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1824 Commons Cir Ste B, Yukon, OK 73099 Phone: 405-467-6782 Fax: 405-467-6100 | |
Mackenzie Stack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2121 S Yukon Pkwy Ste 200, Yukon, OK 73099 Phone: 405-578-5447 Fax: 866-490-4693 | |
Piper Laurel Crossland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2121 S Yukon Pkwy Ste 200, Yukon, OK 73099 Phone: 405-578-5447 Fax: 866-490-4693 | |
Jacob Mullen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Ivory Dr, Yukon, OK 73099 Phone: 972-259-0606 | |
Elizabeth Anne Younger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Garth Brooks Blvd, Yukon, OK 73099 Phone: 405-350-3336 | |
Valir Outpatient Clinic #2 Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Garth Brooks Blvd, Yukon, OK 73099 Phone: 405-354-6698 Fax: 405-354-6609 | |
Counterbalance Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11216 Nw Expressway, Yukon, OK 73099 Phone: 405-373-3122 Fax: 405-373-3443 |