| Iowa Tribe Of Oklahoma | |
|
509 E Highway 33 Perkins OK 74059-4129 | |
| (405) 547-2473 | |
| (405) 547-2925 |
| Full Name | Iowa Tribe Of Oklahoma |
|---|---|
| Speciality | Clinic/Center |
| Location | 509 E Highway 33, Perkins, Oklahoma |
| Authorized Official Name and Position | Angela Dawn Daugherty (HEALTH DIRECTOR) |
| Authorized Official Contact | 4055472473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Tribe Of Oklahoma 509 E Highway 33 Perkins OK 74059-4129 Ph: (405) 547-2473 | Iowa Tribe Of Oklahoma 509 E Highway 33 Perkins OK 74059-4129 Ph: (405) 547-2473 |
| NPI Number | 1891943106 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 09/18/2019 |
| Medicare PECOS PAC ID | 4880675768 |
|---|---|
| Medicare Enrollment ID | O20040526001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891943106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | James I Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043226764 PECOS PAC ID: 5092797571 Enrollment ID: I20040607001417 |
| Provider Name | Douglas W Brant |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588656094 PECOS PAC ID: 4082649660 Enrollment ID: I20051227000185 |
| Provider Name | Melissa Shanay Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124447792 PECOS PAC ID: 7315232717 Enrollment ID: I20160824001986 |
| Provider Name | James Reed Mcglasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696515 PECOS PAC ID: 5496031791 Enrollment ID: I20170718001313 |
| Provider Name | Angela Dawn Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154740 PECOS PAC ID: 7315239316 Enrollment ID: I20190312001477 |
| Provider Name | Lisa Lee Bell Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740751379 PECOS PAC ID: 1658722186 Enrollment ID: I20240109004815 |
| Provider Name | Gina Marie Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023151784 PECOS PAC ID: 4880038462 Enrollment ID: I20240222001906 |
| Provider Name | Amber Dawn Durbin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932658168 PECOS PAC ID: 5193263473 Enrollment ID: I20240817000525 |
| Provider Name | Ashly A Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336381045 PECOS PAC ID: 4789122995 Enrollment ID: I20240820000716 |
| Provider Name | Jaspreet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215458443 PECOS PAC ID: 2567994064 Enrollment ID: I20241022000171 |
| Provider Name | Telly Shuval Springer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841928652 PECOS PAC ID: 2769915875 Enrollment ID: I20241029000164 |
| Provider Name | Austin Winterowd Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437858693 PECOS PAC ID: 7214467372 Enrollment ID: I20250205001943 |
| Provider Name | Kelsey Nicole Lee Patzkowsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447975172 PECOS PAC ID: 1456872761 Enrollment ID: I20250303003020 |
Iowa Tribe Of Oklahoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Highway 33, Perkins, OK 74059 Phone: 405-547-2473 Fax: 405-547-2925 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Highway 33, Perkins, OK 74059 Phone: 405-547-4162 Fax: 405-547-4159 | |
In Christ Family Health Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E Williams Rd, Perkins, OK 74059 Phone: 405-547-6222 Fax: 405-547-6223 | |
Okie Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 E Pams Dr, Perkins, OK 74059 Phone: 620-417-6363 |