| Ada Adult Medicine Clinic | |
|
325 N Monte Vista St Ada OK 74820-4607 | |
| (580) 272-0025 | |
| (580) 272-6559 |
| Full Name | Ada Adult Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 N Monte Vista St, Ada, Oklahoma |
| Authorized Official Name and Position | Bruce W Dennis (OWNER) |
| Authorized Official Contact | 5802720025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Adult Medicine Clinic 902 Arlington Ctr Pmb 224 Ada OK 74820-2883 Ph: (580) 272-0025 | Ada Adult Medicine Clinic 325 N Monte Vista St Ada OK 74820-4607 Ph: (580) 272-0025 |
| NPI Number | 1689723959 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 7517955453 |
|---|---|
| Medicare Enrollment ID | O20040501000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689723959 | NPI | - | NPPES |
| 200034380A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18405 (Oklahoma) | Primary |
| Provider Name | Bruce W Dennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450555 PECOS PAC ID: 7416945357 Enrollment ID: I20040511000258 |
| Provider Name | Mona J Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154734994 PECOS PAC ID: 1153543830 Enrollment ID: I20141113000372 |
| Provider Name | Mandy L Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619327970 PECOS PAC ID: 8921380585 Enrollment ID: I20170117001355 |
| Provider Name | Brandi Gynn Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578010716 PECOS PAC ID: 2769740091 Enrollment ID: I20171214001966 |
| Provider Name | Laurie E Boggess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457875056 PECOS PAC ID: 4587922125 Enrollment ID: I20180205002268 |
| Provider Name | Haley Brooke Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033760970 PECOS PAC ID: 2769810290 Enrollment ID: I20200317001057 |
| Provider Name | Holly Katharyn Farrar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780209254 PECOS PAC ID: 2961826201 Enrollment ID: I20200721000543 |
| Provider Name | Christy Lynn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659985430 PECOS PAC ID: 5092948588 Enrollment ID: I20200923000080 |
| Provider Name | Ryan Hung Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740955665 PECOS PAC ID: 7113322207 Enrollment ID: I20210827001787 |
Ada Family Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Monte Vista St, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447 | |
Central Oklahoma Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-925-9149 | |
Central Oklahoma Family Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Colony Drive Bldg, Ada, OK 74820 Phone: 580-925-3286 | |
Hrh Medical Group, Primary Care Of Ada Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Cradduck Rd, Ada, OK 74820 Phone: 580-304-7017 | |
Myhealth Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Broadway Ave, Ada, OK 74820 Phone: 405-594-0191 | |
Hale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 E 10th St, 429 E. 10th St, Ada, OK 74820 Phone: 580-310-9755 | |
Family Physician Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Augusta Dr, Ada, OK 74820 Phone: 918-728-4942 Fax: 918-770-8456 |