| Prime Physician Staffing 3 Llc | |
|
6006 Se Adams Blvd Bartlesville OK 74006-8960 | |
| (918) 331-0550 | |
| Not Available |
| Full Name | Prime Physician Staffing 3 Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 6006 Se Adams Blvd, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Jacob Krajicek (MEMBER) |
| Authorized Official Contact | 9185763150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Physician Staffing 3 Llc 20 E 5th St Ste 620 Tulsa OK 74103-4441 Ph: (918) 576-3150 | Prime Physician Staffing 3 Llc 6006 Se Adams Blvd Bartlesville OK 74006-8960 Ph: (918) 331-0550 |
| NPI Number | 1831840958 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 04/28/2022 |
| Medicare PECOS PAC ID | 0446633614 |
|---|---|
| Medicare Enrollment ID | O20220822000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831840958 | NPI | - | NPPES |
| Provider Name | Robert James Postlewait |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396907366 PECOS PAC ID: 1759551948 Enrollment ID: I20110825000497 |
| Provider Name | Cody Yochum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376898965 PECOS PAC ID: 7810146610 Enrollment ID: I20150210000266 |
| Provider Name | Whitney Elizabeth Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487271276 PECOS PAC ID: 4183029804 Enrollment ID: I20210818003178 |
| Provider Name | Krystle Renee O'dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922767631 PECOS PAC ID: 7810380151 Enrollment ID: I20220208002917 |
| Provider Name | Brian David Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457004970 PECOS PAC ID: 7911354105 Enrollment ID: I20231109001225 |
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