Tracy Elaine Lane (NPI# 1073099503, PAC ID# 3274886270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1073099503 |
PAC ID by PECOS | 3274886270 |
Professional Enrollment ID | I20181022000074 |
Full Name | Tracy Elaine Lane |
Organization Legal Name | WESTERN OKLAHOMA UROLOGY PLLC |
Address |
3739 Legacy Weatherford OK 73096-9746 |
Phone Number | 5802432200 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3274857131 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370019 | GREAT PLAINS REGIONAL MEDICAL CENTER |
370022 | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
371325 | CORDELL MEMORIAL HOSPITAL |
370153 | ELKVIEW GENERAL HOSPTIAL |
Address | Phone | Organization |
---|---|---|
1800 W 1st St, Suite 106, Elk City, OK 73644-3133 | 5802432200 | WESTERN OKLAHOMA UROLOGY PLLC |
3739 Legacy, Weatherford, OK 73096-9746 | 5802432200 | WESTERN OKLAHOMA UROLOGY PLLC |
Organization Legal Name | WESTERN OKLAHOMA UROLOGY PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cole W Wootton | Urology | Western Oklahoma Urology Pllc | 3000 N Main St, Altus, OK 73521-1348 |
Street Address |
3739 LEGACY |
City | WEATHERFORD |
State | OK |
Zip | 73096-9746 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Hunter | Otolaryngology | Weatherford Hospital Authority | 3739 Legacy, Weatherford, OK 73096-9746 |
Name | Specialty | Organization | Address |
---|---|---|---|
Russell L Hanan | General Surgery | Russell L Hanan M D Inc | 213 N Illinois, Weatherford, OK 73096 |
Jimmy D Smart | Optometry | Paul C. Tisdal,o.d.,p.c. | 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 |
Paul C Tisdal | Optometry | Paul C. Tisdal,o.d.,p.c. | 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 |
Rubi Ann Litteral | Nurse Practitioner | Williams Medical Group Practice LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
Brian L Bluth | Family Medicine | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
Tamara Jo Grabeal | Nurse Practitioner | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
Debra M Murray | Nurse Practitioner | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
N Devonna A Belle | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
Sean K George | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
Jana Nikole Morris | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
Find all physicians in zip 73096 |
City | WEATHERFORD |
Zip Code | 73096 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WEATHERFORD + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.