Jaci Ranea Hodges, PA-C
Jaci Ranea Hodges, PA-C is a Physician Assistant in Woodward, Oklahoma. Qualified in 2019, 7 years ago. Practices with Kenan Kirkendall, DO, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 7
- Licensed in
- OK
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1501 Main StWoodward, OK 73801-3043
Phone: (580) 254-5316
Fax: (580) 256-6508
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 3097 (OK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740848878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2019 |
| Last updated in NPPES | February 10, 2021 |
| Certification date | February 10, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Kenan Kirkendall, D.O., Pc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |