| Charger Health Group Pllc | |
|
511 N Aspen Ave Broken Arrow OK 74012-2220 | |
| (918) 806-8050 | |
| (918) 806-8090 |
| Full Name | Charger Health Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 511 N Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Dennis S Blackstad (OWNER) |
| Authorized Official Contact | 9186056582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charger Health Group Pllc Po Box 342 Broken Arrow OK 74013-0342 Ph: (918) 605-6582 | Charger Health Group Pllc 511 N Aspen Ave Broken Arrow OK 74012-2220 Ph: (918) 806-8050 |
| NPI Number | 1346855640 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 0941610240 |
|---|---|
| Medicare Enrollment ID | O20201027002200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346855640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis S Blackstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710040894 PECOS PAC ID: 3678526969 Enrollment ID: I20050228000026 |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S 9th St, Broken Arrow, OK 74012 Phone: 405-546-4130 | |
Osu-aj Susan B. Young Do Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 W Urbana St, Broken Arrow, OK 74012 Phone: 918-561-8306 Fax: 918-561-5747 | |
Wellspring Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 N. Birch Ave, Broken Arrow, OK 74012 Phone: 918-461-0422 Fax: 918-461-0428 | |
Family Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 S. Elm Pl., Suite A, Broken Arrow, OK 74012 Phone: 918-455-7777 Fax: 918-455-8105 | |
Ent And Sinus Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4716 W Urbana St, Suite B, Broken Arrow, OK 74012 Phone: 918-872-9966 Fax: 918-893-2043 | |
Dr Brandon Bailey Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3621 S Elder Blvd, Broken Arrow, OK 74011 Phone: 620-330-0360 | |
Ba Med Spa & Weight Loss Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-872-9999 Fax: 918-893-6342 |