White Eagle Health Center - Medicare Primary Care in Ponca City, OK

White Eagle Health Center is a medicare enrolled primary clinic (Clinic/center) in Ponca City, Oklahoma. The current practice location for White Eagle Health Center is 200 White Eagle Drive, Ponca City, Oklahoma. For appointments, you can reach them via phone at (580) 765-2501. The mailing address for White Eagle Health Center is 200 White Eagle Drive, Ponca City, Oklahoma and phone number is (580) 765-2501.

White Eagle Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699875724. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (580) 765-2501.

Contact Information

White Eagle Health Center
200 White Eagle Drive
Ponca City
OK 74601
(580) 765-2501
(580) 765-6348

Primary Care Clinic Profile

Full NameWhite Eagle Health Center
SpecialityClinic/Center
Location200 White Eagle Drive, Ponca City, Oklahoma
Authorized Official Name and PositionBennett Arkeketa (TRIBAL ADMINISTRATOR)
Authorized Official Contact5807652501
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
White Eagle Health Center
200 White Eagle Drive
Ponca City
OK 74601

Ph: (580) 765-2501
White Eagle Health Center
200 White Eagle Drive
Ponca City
OK 74601

Ph: (580) 765-2501

NPI Details:

NPI Number1699875724
Provider Enumeration Date09/25/2006
Last Update Date05/18/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1456324193
Medicare Enrollment IDO20040819000518

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Medical Identifiers

Medical identifiers for White Eagle Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699875724NPI-NPPES
100700590DMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. White Eagle Health Center acts as a billing entity for following providers:
Provider NameFarooq Maqbool
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346284593
PECOS PAC ID: 4284657214
Enrollment ID: I20060105000317

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Provider NameWilliam K Smith
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1629050364
PECOS PAC ID: 2466524368
Enrollment ID: I20080710000060

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Provider NamePatrice E Mooney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104072818
PECOS PAC ID: 6103959499
Enrollment ID: I20100806000809

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Provider NameKimberly K Holt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730496423
PECOS PAC ID: 8123210358
Enrollment ID: I20120718000213

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Provider NameBonnie Jo Mccarthick
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184066656
PECOS PAC ID: 8022243427
Enrollment ID: I20131019000043

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Provider NameTheresa Flowerette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700800869
PECOS PAC ID: 0345216990
Enrollment ID: I20141015000101

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Provider NameJames R Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639219066
PECOS PAC ID: 0547587255
Enrollment ID: I20150317002301

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Provider NameMonica D Leach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437678562
PECOS PAC ID: 7416292511
Enrollment ID: I20181218002217

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Provider NameLesa Westra
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518381151
PECOS PAC ID: 7315311073
Enrollment ID: I20230320001325

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Provider NameAmy Oatman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962706390
PECOS PAC ID: 9830564996
Enrollment ID: I20240129004554

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Provider NameGabrielle Evangeline Barnes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1679096952
PECOS PAC ID: 4688010978
Enrollment ID: I20240312003965

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Provider NameJake Roberts
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1396082798
PECOS PAC ID: 3870814593
Enrollment ID: I20240315001903

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Clinic/Center in Ponca City, OK

Mark Oatman Md Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 215 N 3rd St, Ponca City, OK 74601
Phone: 580-762-1777    Fax: 580-762-1771
Dsk Medical Group, Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601
Phone: 580-765-6647    Fax: 580-765-6699
Bruce Baugher D.o., Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1908 N 14th St, Suite 207, Ponca City, OK 74601
Phone: 580-763-5900    Fax: 580-763-5901
Urgent Care And Family Practice Center Of Ponca City Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1715 N 5th St, Ponca City, OK 74601
Phone: 580-762-9292    Fax: 580-762-1660
Lsi Clinics (lsi Foot, Shoe, Wound Or Orthotics)
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2210 N 14th St, Ponca City, OK 74604
Phone: 580-718-0002    Fax: 580-718-0003
Bradley Bibb Md Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601
Phone: 580-762-1911    Fax: 580-762-0887
John W. Holden, M.d., P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 427 Fairview Ave, Ponca City, OK 74601
Phone: 580-765-9299    Fax: 580-765-2199

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