| Willow Medical Llc | |
|
12806 E 86th Pl N Ste A Owasso OK 74055-2688 | |
| (539) 208-5069 | |
| (539) 208-5440 |
| Full Name | Willow Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12806 E 86th Pl N Ste A, Owasso, Oklahoma |
| Authorized Official Name and Position | Paula Moorman (APRN, FNP-C) |
| Authorized Official Contact | 5392085069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Medical Llc 12806 E 86th Pl N Ste A Owasso OK 74055-2688 Ph: (539) 208-5069 | Willow Medical Llc 12806 E 86th Pl N Ste A Owasso OK 74055-2688 Ph: (539) 208-5069 |
| NPI Number | 1417640582 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 1658723176 |
|---|---|
| Medicare Enrollment ID | O20240122000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417640582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paula Dee Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336772169 PECOS PAC ID: 6608292180 Enrollment ID: I20200813003601 |
| Provider Name | Melissa Ma-heiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386267334 PECOS PAC ID: 0446660344 Enrollment ID: I20241113000171 |
Php Ok Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8787 N Owasso Expy Ste J, Owasso, OK 74055 Phone: 918-516-2296 Fax: 918-516-2801 | |
Pacific Physician Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 S Main St, Owasso, OK 74055 Phone: 918-274-9999 Fax: 918-274-1094 | |
918 Family Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8430 N 123rd East Ave, Owasso, OK 74055 Phone: 918-401-4770 Fax: 918-401-4779 | |
Oklahoma Kids Pediatrics, Sara Buntin, Aprn-cpnp, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13600 E 86th St N Ste 200, Owasso, OK 74055 Phone: 918-609-5700 | |
Advanced Orthopedics Of Oklahoma Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 E 5th Ave Ste 103, Owasso, OK 74055 Phone: 918-609-8088 Fax: 918-927-3201 | |
David L & Stanley J Smith Ptrs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8510 North 123rd East Avenue, Owasso, OK 74055 Phone: 918-272-1138 Fax: 918-274-2931 | |
Ballard Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 E 2nd Ave, Owasso, OK 74055 Phone: 918-272-8054 |