| Nicole L. Cupp Dpm Pllc | |
| 226 Se Debell Ave, Bartlesville, OK 74006-2343 | |
| (918) 876-0476 | |
| (918) 876-0479 | 
| Full Name | Nicole L. Cupp Dpm Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 226 Se Debell Ave, Bartlesville, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831570910 | NPI | - | NPPES | 
| 200526540A | Medicaid | OK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 301 (Oklahoma) | Primary | 
| Provider Name | Nicole L Cupp | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1619298346 PECOS PAC ID: 7719121946 Enrollment ID: I20130910000254 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicole L. Cupp Dpm Pllc 226 Se Debell Ave, Bartlesville, OK 74006-2343 Ph: (918) 876-0476 | Nicole L. Cupp Dpm Pllc 226 Se Debell Ave, Bartlesville, OK 74006-2343 Ph: (918) 876-0476 | 
| James E . Webb, Jr., Dpm, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1631 Se Washington Blvd, Bartlesville, OK 74006 Phone: 918-333-1622 | |
| Dr. Nicole Lynn Cupp, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 226 Se Debell Ave, Bartlesville, OK 74006 Phone: 918-876-0476 Fax: 918-876-0479 | |
| James Edward Webb Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1631 Se Washington Blvd, Bartlesville, OK 74006 Phone: 918-333-1622 Fax: 918-333-6600 |