Mikal D Phillips-edwards (NPI# 1396234902, PAC ID# 3274888011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396234902 |
| PAC ID by PECOS | 3274888011 |
| Professional Enrollment ID | I20180619000759 |
| Full Name | Mikal D Phillips-edwards |
| Organization Legal Name | ROGER MILLS COUNTY HOSPITAL AUTHORITY |
| Address |
501 S Ll Males Cheyenne OK 73628 |
| Phone Number | 5804973336 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113827403 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371303 | ROGER MILLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 S Ll Males, Cheyenne, OK 73628 | 5804973336 | ROGER MILLS COUNTY HOSPITAL AUTHORITY |
| Organization Legal Name | ROGER MILLS COUNTY HOSPITAL AUTHORITY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Hubanks | Family Medicine | Roger Mills County Hospital Authority | 501 S Ll Males, Cheyenne, OK 73628 |
| Lynda D Bentley | Physician Assistant | Roger Mills County Hospital Authority | 501 S Ll Males, Cheyenne, OK 73628 |
| Sonja D Langley | Family Medicine | Roger Mills County Hospital Authority | 501 S Ll Males, Cheyenne, OK 73628 |
| Street Address |
501 S LL MALES |
| City | CHEYENNE |
| State | OK |
| Zip | 73628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Hubanks | Family Medicine | Roger Mills County Hospital Authority | 501 S Ll Males, Cheyenne, OK 73628 |
| Lynda D Bentley | Physician Assistant | Roger Mills County Hospital Authority | 501 S Ll Males, Cheyenne, OK 73628 |
| Sonja D Langley | Family Medicine | Roger Mills County Hospital Authority | 501 S Ll Males, Cheyenne, OK 73628 |
| City | CHEYENNE |
| Zip Code | 73628 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHEYENNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mikal D Phillips-edwards.
| 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.