Molly Beth Bullard, APRN
Individual provider Active NPI Nurse Practitioner · Choctaw, OK
NPI 1952129397 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1952129397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 216013 (OK)
- Practice address
- 1664 S Choctaw Rd
Choctaw, OK 73020-6766 - Phone
- (405) 963-3195
- NPI assigned
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Immediate Care of Oklahoma LLC
Practice addresses (Care Compare)
1664 S Choctaw Rd
Suite 101
Choctaw, OK 73020-6767
Phone (405) 281-2144
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 |
|---|---|---|---|---|
| I20241204001271 | OK | Practitioner - Nurse Practitioner | 9931635786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immediate Care of Oklahoma, LLC | Current |
Accepting new patients | |
| Immediate Care of Oklahoma | Current |
Accepting new patients | |
| Immediate Care of Oklahoma LLC | Current |
Accepting new patients |
Locations
1664 S Choctaw Rd
Choctaw, OK 73020
Phone (405) 281-2144
1664 S Choctaw Rd
Ste 101
Choctaw, OK 73020
Phone (405) 281-2144
3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900
11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 216013 | OK | Yes |
Addresses
Primary practice location
1664 S Choctaw Rd
Choctaw, OK 73020-6766
Mailing address
112 E 7TH St
Arcadia, OK 73007-9136
Phone (405) 693-3772
Other names
- Miss Molly Harris
Other providers in Choctaw, OK
- L Scott Brewer
- Bailey Brooks
- Samantha Lyne Brown
- Bruce a. Stafford, DO, PC
- Roger Lynn Bryant
- Edna Lea Campbell
- Maria Caram
- Stephanie Michelle Cargo
- Sabre Carlile
- Cary Lee Carpenter
All providers in Choctaw, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. 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.