| Willow Oak Medical, Llc | |
|
100 S Main St Clinton IN 47842-2437 | |
| (912) 713-1124 | |
| Not Available |
| Full Name | Willow Oak Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 S Main St, Clinton, Indiana |
| Authorized Official Name and Position | Jeanie M Kent (OWNER) |
| Authorized Official Contact | 9127131124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Oak Medical, Llc Po Box 467 Clinton IN 47842-0467 Ph: (912) 713-1124 | Willow Oak Medical, Llc 100 S Main St Clinton IN 47842-2437 Ph: (912) 713-1124 |
| NPI Number | 1366224719 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 1052769627 |
|---|---|
| Medicare Enrollment ID | O20231121002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366224719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jeanie Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356063705 PECOS PAC ID: 3173909827 Enrollment ID: I20221003002475 |
Valley Professionals Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S Main St, Suite 100, Clinton, IN 47842 Phone: 765-828-1003 Fax: 765-828-1030 | |
John L Wheat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Vine St, Clinton, IN 47842 Phone: 765-592-3381 Fax: 765-820-1105 | |
Parke Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 S 3rd St, Clinton, IN 47842 Phone: 765-832-2464 Fax: 765-832-1638 | |
Associated Physicians & Surgeons Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Clinton, IN 47842 Phone: 812-232-0564 Fax: 812-242-3848 |