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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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RUSSELL, RENEE JEAN       
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.
Practice Address: 1110 NEO LOOP
GROVE OK 74344

Address last updated on 6/17/2024
Phone #: (918) 786-3100
Fax #: (918) 786-3108
County: DELAWARE
License: 22021
Dated: 7/2/2002
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 12 / 1999
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: 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
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Humana Medicare Advantage PPO
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS
United Insurance
Hospital Privileges: INTEGRIS Grove General Hospital
Grove, OK
Locations: Hours: Languages:
1110 NEO LOOP
GROVE OK 74344

Phone #: (918) 786-3100
Fax #: (918) 786-3108
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun: 8:00AM - 5:00PM

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