| Groves Enterprises Pllc | |
|
1029 E Vandament Ave Yukon OK 73099-4949 | |
| (405) 350-4300 | |
| (405) 350-4302 |
| Full Name | Groves Enterprises Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1029 E Vandament Ave, Yukon, Oklahoma |
| Authorized Official Name and Position | Philicia Maria Groves (OWNER) |
| Authorized Official Contact | 4053504300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Groves Enterprises Pllc 1029 E Vandament Ave Yukon OK 73099-4949 Ph: (405) 350-4300 | Groves Enterprises Pllc 1029 E Vandament Ave Yukon OK 73099-4949 Ph: (405) 350-4300 |
| NPI Number | 1467761882 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 02/21/2023 |
| Medicare PECOS PAC ID | 9638357429 |
|---|---|
| Medicare Enrollment ID | O20110627000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467761882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (Oklahoma) | Primary |
| Provider Name | Therese D Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033148697 PECOS PAC ID: 1153369772 Enrollment ID: I20070228000472 |
| Provider Name | Philicia M Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942236690 PECOS PAC ID: 4284783416 Enrollment ID: I20090528000631 |
| Provider Name | Daniel Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649710369 PECOS PAC ID: 2264719715 Enrollment ID: I20170510001083 |
| Provider Name | Marlana Marie Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487238531 PECOS PAC ID: 0941601256 Enrollment ID: I20210624000741 |
| Provider Name | Lacy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358378 PECOS PAC ID: 5193143121 Enrollment ID: I20240529000990 |
Aquilo Medical Home Team Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1491 Health Center Pkwy, Yukon, OK 73099 Phone: 405-990-6654 | |
Michael D. Furgeson, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Vandament Ave, Suite 100, Yukon, OK 73099 Phone: 405-350-8100 Fax: 405-350-6418 | |
Php Yukon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir Ste B, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Lance Doyle Dc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W Vandament Ave, Yukon, OK 73099 Phone: 405-354-5753 Fax: 405-354-5828 | |
Catrina Bourne, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir, Suite A, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Nr Yukon Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12801 Nw 10th St, Yukon, OK 73099 Phone: 405-914-6677 Fax: 405-669-3517 | |
Family First Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Cornwell Drive, Yukon, OK 73099 Phone: 405-265-2300 |