| Medok Mustang, Llc | |
|
1616 S Mustang Rd Yukon OK 73099-0304 | |
| (405) 256-0501 | |
| Not Available |
| Full Name | Medok Mustang, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1616 S Mustang Rd, Yukon, Oklahoma |
| Authorized Official Name and Position | Derrick Freeman (OWNER) |
| Authorized Official Contact | 4052560501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medok Mustang, Llc 1616 S Mustang Rd Yukon OK 73099-0304 Ph: (405) 256-0501 | Medok Mustang, Llc 1616 S Mustang Rd Yukon OK 73099-0304 Ph: (405) 256-0501 |
| NPI Number | 1831553817 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 10/31/2025 |
| Medicare PECOS PAC ID | 7810288032 |
|---|---|
| Medicare Enrollment ID | O20160620000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831553817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Lenard B Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225017270 PECOS PAC ID: 6709799208 Enrollment ID: I20031111000194 |
| Provider Name | Derrick V Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982682936 PECOS PAC ID: 1456335710 Enrollment ID: I20040615000651 |
| Provider Name | Michael W Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063491801 PECOS PAC ID: 0042294340 Enrollment ID: I20040615000869 |
| Provider Name | Brent D Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793358 PECOS PAC ID: 3870556996 Enrollment ID: I20041110000143 |
| Provider Name | Soisangvane Wingard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922370899 PECOS PAC ID: 6507020989 Enrollment ID: I20120614000793 |
| Provider Name | Stephanie Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558786541 PECOS PAC ID: 4688899818 Enrollment ID: I20140702001011 |
| Provider Name | Brittany Leigh Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588271381 PECOS PAC ID: 7214349000 Enrollment ID: I20201221000682 |
| Provider Name | Summer Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326684630 PECOS PAC ID: 1557754421 Enrollment ID: I20220217001340 |
| Provider Name | Brook Noel Leland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235748617 PECOS PAC ID: 5092108969 Enrollment ID: I20220217001395 |
| Provider Name | Christina Jean Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356007967 PECOS PAC ID: 0244626869 Enrollment ID: I20220407002326 |
| Provider Name | Kyra Nicole Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922845189 PECOS PAC ID: 4880125087 Enrollment ID: I20240928000440 |
Aquilo Medical Home Team Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1491 Health Center Pkwy, Yukon, OK 73099 Phone: 405-990-6654 | |
Michael D. Furgeson, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Vandament Ave, Suite 100, Yukon, OK 73099 Phone: 405-350-8100 Fax: 405-350-6418 | |
Php Yukon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir Ste B, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Lance Doyle Dc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W Vandament Ave, Yukon, OK 73099 Phone: 405-354-5753 Fax: 405-354-5828 | |
Catrina Bourne, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir, Suite A, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Nr Yukon Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12801 Nw 10th St, Yukon, OK 73099 Phone: 405-914-6677 Fax: 405-669-3517 | |
Family First Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Cornwell Drive, Yukon, OK 73099 Phone: 405-265-2300 |