| Medrite Health Llc | |
|
1020 E 8th St Okmulgee OK 74447-4726 | |
| (918) 756-3114 | |
| Not Available |
| Full Name | Medrite Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1020 E 8th St, Okmulgee, Oklahoma |
| Authorized Official Name and Position | Benjamin Bradley (CEO) |
| Authorized Official Contact | 9187563114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medrite Health Llc 109 W 6th St Okmulgee OK 74447-5015 Ph: (918) 756-3114 | Medrite Health Llc 1020 E 8th St Okmulgee OK 74447-4726 Ph: (918) 756-3114 |
| NPI Number | 1487017398 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 9436417748 |
|---|---|
| Medicare Enrollment ID | O20171214001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487017398 | NPI | - | NPPES |
| 200740340A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin F Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518788 PECOS PAC ID: 1052385663 Enrollment ID: I20140128001294 |
| Provider Name | Jennifer C Patchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568866416 PECOS PAC ID: 5597083683 Enrollment ID: I20150422000672 |
| Provider Name | Kristina B Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801394101 PECOS PAC ID: 4284996893 Enrollment ID: I20180320000449 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427525880 PECOS PAC ID: 4981946514 Enrollment ID: I20190501002467 |
| Provider Name | Ashley Michelle Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932683984 PECOS PAC ID: 0446585640 Enrollment ID: I20190710002456 |
| Provider Name | Tiffany Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790309128 PECOS PAC ID: 5890196281 Enrollment ID: I20210623000315 |
| Provider Name | Amanda Lynne Doane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124701438 PECOS PAC ID: 0840635009 Enrollment ID: I20240227002863 |
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