| Legacy Family Medicine Pllc | |
|
207 E Taliaferro St Madill OK 73446-3410 | |
| (580) 677-9500 | |
| Not Available |
| Full Name | Legacy Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 207 E Taliaferro St, Madill, Oklahoma |
| Authorized Official Name and Position | Bailey Buck (OWNER) |
| Authorized Official Contact | 5806772648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Medicine Pllc 207 E Taliaferro St Madill OK 73446-3410 Ph: (580) 677-9500 | Legacy Family Medicine Pllc 207 E Taliaferro St Madill OK 73446-3410 Ph: (580) 677-9500 |
| NPI Number | 1699587139 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 04/03/2025 |
| Medicare PECOS PAC ID | 7517486673 |
|---|---|
| Medicare Enrollment ID | O20250522000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699587139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica D Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407257942 PECOS PAC ID: 6800118878 Enrollment ID: I20141202000205 |
| Provider Name | Tabitha Nave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068460 PECOS PAC ID: 0143595470 Enrollment ID: I20171012000267 |
| Provider Name | Michael Glen Cranford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528553153 PECOS PAC ID: 0749516177 Enrollment ID: I20191118000683 |
| Provider Name | Bailey Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457978934 PECOS PAC ID: 1850708280 Enrollment ID: I20210828000081 |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 S 5th Ave, Madill, OK 73446 Phone: 918-561-8306 Fax: 918-280-1917 | |
Marshall County Hma, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Hospital Drive, Madill, OK 73446 Phone: 580-795-0191 | |
Breedlove Wound Care Of Oklahoma Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 E Taliaferro St, Madill, OK 73446 Phone: 903-947-2020 | |
Marshall County Hmpn, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Hospital Drive, Madill, OK 73446 Phone: 580-795-0191 | |
Baptist Healthcare Of Oklahoma Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Hospital Dr, Madill, OK 73446 Phone: 580-795-0191 Fax: 580-795-0194 | |
Talley Chiropractic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N 1st St, Madill, OK 73446 Phone: 580-795-2269 Fax: 580-795-2609 |