Stephanie Jane Garrett, PA-C
Individual provider Active NPI Physician Assistant · Porter, OK
NPI 1821482811 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1821482811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2481 (OK)
- Practice address
- 505 S Main St
Porter, OK 74454-1015 - Phone
- (918) 483-0111
- Fax
- (918) 483-4174
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Verdigris Valley Health Centers, Inc.
Practice addresses (Care Compare)
201 N 32ND St
Muskogee, OK 74401-2104
Phone (918) 912-2333
505 S Main St
Porter, OK 74454-1015
Phone (918) 483-0111
Hospital & facility affiliations
- Saint Francis Hospital Muskogee
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151019000551 | OK | Practitioner - Physician Assistant | 2769791565 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2481 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Verdigris Valley Health Centers, Inc. | Current |
Accepting new patients | |
| Saint Francis Hospital Muskogee Inc | Past | Accepting new patients |
Locations
607 S Broadway
Coweta, OK 74429
Phone (918) 279-6675
201 N 32nd St
Muskogee, OK 74401
Phone (918) 912-2333
110 W Martin Luther King St
Muskogee, OK 74401
Phone (918) 483-0111
619 N Main St
Muskogee, OK 74401
Phone (918) 687-1039
505 S Main St
Tullahassee, OK 74454
Phone (918) 483-0111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2481 | OK | Yes |
Addresses
Primary practice location
505 S Main St
Porter, OK 74454-1015
Mailing address
505 S Main St
Porter, OK 74454-1015
Phone (918) 483-0111
Other providers in Porter, OK
- Brandon Udell Bethel
- Bianca D Byrd
- Sadena Renee Chrisman
- Jessica Tara Dixon-Neal
- Ashley Noel Evans
- Richard M Jackson Jr.
- Lauren Rachel Jeffus
- Susan Morgart Kent
- Julie R McIntosh
- Porter Consolidated Schools
All providers in Porter, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. 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.