Angela D Skousen, | |
300 N Main St, Bristow, OK 74010-2410 | |
(918) 367-6533 | |
Not Available |
Full Name | Angela D Skousen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 300 N Main St, Bristow, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407441751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 200530 (Oklahoma) | Primary |
Entity Name | Homestead Medical Clinic, Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750718730 PECOS PAC ID: 6204065196 Enrollment ID: O20140219001433 |
Entity Name | National Family Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477287720 PECOS PAC ID: 7214313345 Enrollment ID: O20220927002974 |
Mailing Address | Practice Location Address |
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Angela D Skousen, 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Angela D Skousen, 300 N Main St, Bristow, OK 74010-2410 Ph: (918) 367-6533 |
Mrs. Lisa Leifheit, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W 7th Ave, Bristow, OK 74010 Phone: 918-367-2215 | |
Bessie L Barnes, A.P.R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 N Main St, Bristow, OK 74010 Phone: 918-367-6533 Fax: 918-367-6544 | |
Jacqueline Giudice, APRN-CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 700 W 7th Ave, Bristow, OK 74010 Phone: 918-367-2215 | |
Sammi Noel Nance, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W 7th Ave Ste 104, Bristow, OK 74010 Phone: 918-367-8818 Fax: 918-367-8820 |