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Angela Nichole Tinkham

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

933 Pruitt Dr, Oklahoma City, OK 73170-5621

PECOS Enrollment

This provider is enrolled in PECOS as ANGELA TINKHAM.

Based on the most recent information from CMS, provider Angela Nichole Tinkham is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:05 AM.

Profile Details

Provider ID
1598231995
Provider Type
Individual
Full Name
Tinkham, Angela Nichole
Gender
Female

Sole Proprietor
No
Enumeration Date
10/23/2018
Last Updated
10/23/2018

Contact Information

Practice Location

933 Pruitt Dr, Oklahoma City, OK 73170-5621

(405) 431-7070

Unlisted Fax

Mailing Location

933 Pruitt Dr, Oklahoma City, OK 73170-5621

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F10180587 Oklahoma

Angela Nichole Tinkham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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