Erin Kelly Allen, DO
Individual provider Active NPI Family Medicine Physician · Yukon, OK
NPI 1548360779 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1548360779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4269 (OK)
- Practice address
- 11900 NW Expressway
Yukon, OK 73099-8795 - Phone
- (405) 283-9300
- Fax
- (405) 283-9301
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Physicians Group, LLC
Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300
11900 NW Expressway
Yukon, OK 73099-8795
Phone (405) 283-9300
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032
4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital Oklahoma City, Inc
- O U Medical Center
- Integris Baptist Medical Center, Inc
- Community Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080116000041 | OK | Practitioner - Family Practice | 1951482926 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4269 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Family Medicine | Current |
Accepting new patients |
| The Physicians Group LLC | Family Medicine | Current |
Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Health Network Inc | Family Medicine | Past | Accepting new patients |
Locations
7530 NW 23rd St
Bethany, OK 73008
Phone (405) 730-6990
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
11900 NW Expressway
Yukon, OK 73099
Phone (405) 283-9300
Interoperability endpoints
- eallen139910@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4269 | OK | Yes |
Addresses
Primary practice location
11900 NW Expressway
Yukon, OK 73099-8795
Mailing address
11900 NW Expressway
Yukon, OK 73099-8795
Phone (405) 283-9300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200093250A | Medicaid | OK |
Other names
- Erin Christina Kelly
Other providers in Yukon, OK
- Joel Chance Airhart
- Olanrewaju Akande
- Ella Dencie Akeen Click
- Gabrielle Akin
- Alecia a Hanes, PC
- Kayla R Allen
- Racheal Ann Allen
- Terry Allen
- Alliance Community Services, LLC
- Alliance Medical Massage Group LLC
All providers in Yukon, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.