White Eagle Health Center
A Medicare group practice based in Ponca City, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456324193), with 22 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1456324193
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 1
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040819000518 | OK | Part B Supplier - Clinic/Group Practice | 1699875724 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
White Eagle Health Center
- Clinic/Center
- Ponca City, OK
- NPI 1699875724
-
White Eagle Health Center
- Substance Abuse Rehabilitation Facility
- Ponca City, OK
- NPI 1265271910
Practice locations
- Ponca City, OK2
Clinicians 22
Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (8).
-
Gabrielle Evangeline Barnes, MCP, LADC/MH
- Addiction (Substance Use Disorder) Counselor
- Ponca City, OK
- NPI 1679096952
-
Courtney Dawn Beck
- Family Nurse Practitioner
- Ponca City, OK
- NPI 1063069227
-
Julie D Clark, PHD
- Mental Health Counselor
- Ponca City, OK
- NPI 1487084968
-
Alicia Ann Cummings
- Counselor
- Ponca City, OK
- NPI 1760041818
-
Orele Shananae Ferguson, NP-C
- Nurse Practitioner
- Ponca City, OK
- NPI 1174158638
-
Theresa Anne Flowerette, ARNP, NP-C
- Family Nurse Practitioner
- Pawhuska, OK
- NPI 1700800869
-
Julie Free, RDN/LDN
- Registered Dietitian
- Pawhuska, OK
- NPI 1821561465
-
James I Graham, D.O.
- Family Medicine Physician
- Fairfax, OK
- NPI 1043226764
-
Kimberly Kay Holt, APRN
- Nurse Practitioner
- Ponca City, OK
- NPI 1730496423
-
Latasha Leon, LADC-MH
- Addiction (Substance Use Disorder) Counselor
- Ponca City, OK
- NPI 1255797460
-
Brandi Wilcox Malaske, D.C.
- Chiropractor
- Ponca City, OK
- NPI 1669852919
-
Bonnie Jo McCarthick, O.D.
- Optometrist
- Ardmore, OK
- NPI 1184066656
-
Janae Miller, APRN-CNP
- Family Nurse Practitioner
- Newkirk, OK
- NPI 1073124764
-
Patrice Elaine Mooney, DO
- Family Medicine Physician
- Lawton, OK
- NPI 1104072818
-
Amy M Oatman, LPC
- Professional Counselor
- Ponca City, OK
- NPI 1962706390
-
Tammy Lea Otero, LADC/MH
- Mental Health Counselor
- Tonkawa, OK
- NPI 1376199596
-
Jake Aaron Roberts, LPC
- Professional Counselor
- Ponca City, OK
- NPI 1396082798
-
Matthew Cameron Rumsey, M.D.
- Family Medicine Physician
- Pawhuska, OK
- NPI 1326334657
-
William Keith Smith Sr., DPM
- Foot & Ankle Surgery Podiatrist
- Shawnee, OK
- NPI 1629050364
-
Monica Dawn Symes, NP-C
- Family Medicine Physician
- Ponca City, OK
- NPI 1437678562
-
Lesa Ann Westra, LMSW, MSW U/S
- Social Worker
- Ponca City, OK
- NPI 1518381151
-
James R. Williams, M.D.
- Family Medicine Physician
- Ponca City, OK
- NPI 1639219066
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.