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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JACKSON, INGRID WORRELL
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
740 SIGNAL RIDGE DRIVE
EDMOND OK 73013
Address last updated on 7/11/2022 |
| Phone #: |
(405) 418-0125 |
| Fax #: |
(405) 216-3454 |
| County: |
OKLAHOMA |
| License: |
15786 |
| Dated: |
8/28/1986 |
| Expires: |
8/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1985 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
Evolutions Healthcare
First Health
Global Health HMO
Great West Healthcare
Guidestar Health Systems
HealthChoice
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Welcor/Sooner |
| Hospital Privileges: |
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
740 SIGNAL RIDGE DRIVE
EDMOND OK 73013
Phone #:
(405) 418-0125
Fax #:
(405) 216-3454 |
Mon: 7:30AM - 4:00PM
Tue: 7:30AM - 3:00PM
Wed: 7:30AM - 4:00PM
Thu: 7:30AM - 3:00PM
Fri: 7:30AM - 3:00PM
Sat:
Sun: |
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