Elevate Med Wellness Pllc | |
314 E 5th Ave Ste 105 Owasso OK 74055-3484 | |
(918) 645-9325 | |
Not Available |
Full Name | Elevate Med Wellness Pllc |
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Speciality | Family Medicine |
Location | 314 E 5th Ave Ste 105, Owasso, Oklahoma |
Authorized Official Name and Position | Samantha England (OWNER) |
Authorized Official Contact | 9186459325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elevate Med Wellness Pllc 314 E 5th Ave Ste 105 Owasso OK 74055-3484 Ph: () - | Elevate Med Wellness Pllc 314 E 5th Ave Ste 105 Owasso OK 74055-3484 Ph: (918) 645-9325 |
NPI Number | 1467280669 |
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Provider Enumeration Date | 07/22/2024 |
Last Update Date | 04/21/2025 |
Medicare PECOS PAC ID | 4880122233 |
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Medicare Enrollment ID | O20250113002037 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467280669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Samantha England |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043980881 PECOS PAC ID: 6608304050 Enrollment ID: I20250121003582 |
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