| Native Wound Therapy | |
|
7690 E 126th St S Ste D Bixby OK 74008-2794 | |
| (918) 600-2701 | |
| (539) 390-3009 |
| Full Name | Native Wound Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 7690 E 126th St S Ste D, Bixby, Oklahoma |
| Authorized Official Name and Position | Joshua Forrest (MANAGING PARTNER) |
| Authorized Official Contact | 9188054885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Native Wound Therapy 7690 E 126th St S Ste D Bixby OK 74008-2794 Ph: (918) 600-2701 | Native Wound Therapy 7690 E 126th St S Ste D Bixby OK 74008-2794 Ph: (918) 600-2701 |
| NPI Number | 1184335945 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 05/20/2025 |
| Medicare PECOS PAC ID | 5597106922 |
|---|---|
| Medicare Enrollment ID | O20240515003841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184335945 | NPI | - | NPPES |
| 201275340A | Medicaid | OK |
| Provider Name | James P Davies |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881034726 PECOS PAC ID: 8628369006 Enrollment ID: I20191002001394 |
| Provider Name | Monica J Winford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679810295 PECOS PAC ID: 3971731886 Enrollment ID: I20231101000555 |
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