| 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 |
|---|---|
| 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 | Elevate Med Wellness PLLC 314 E 5th Ave Ste 105 Owasso OK 74055-3484 Ph: (918) 645-9325 |
| NPI Number | 1467280669 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 4880122233 |
|---|---|
| Medicare Enrollment ID | O20250113002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467280669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Samantha England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043980881 PECOS PAC ID: 6608304050 Enrollment ID: I20250121003582 |
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