| Teleonyourtime LLC | |
|
3016 Longmeadow Edmond OK 73003-3063 | |
| (405) 509-4325 | |
| Not Available |
| Full Name | Teleonyourtime LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3016 Longmeadow, Edmond, Oklahoma |
| Authorized Official Name and Position | Heather Hedrick (BUSINESS OWNER) |
| Authorized Official Contact | 4055358970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teleonyourtime LLC 3016 Longmeadow Edmond OK 73003-3063 Ph: (405) 535-8970 | Teleonyourtime LLC 3016 Longmeadow Edmond OK 73003-3063 Ph: (405) 509-4325 |
| NPI Number | 1366158701 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 4688049885 |
|---|---|
| Medicare Enrollment ID | O20230330002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366158701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Secondary |
| Provider Name | Heather D Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558675074 PECOS PAC ID: 9335335959 Enrollment ID: I20101122001097 |
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