Dr Andrew Ryan Skousen, DNP | |
550 W 125th Pl S Ste 200, Glenpool, OK 74033-5026 | |
(918) 224-7305 | |
Not Available |
Full Name | Dr Andrew Ryan Skousen |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 550 W 125th Pl S Ste 200, Glenpool, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356948301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R0116201 (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 |
Mailing Address | Practice Location Address |
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Dr Andrew Ryan Skousen, DNP 11001 E 13th St, Tulsa, OK 74128-4221 Ph: (405) 762-2563 | Dr Andrew Ryan Skousen, DNP 550 W 125th Pl S Ste 200, Glenpool, OK 74033-5026 Ph: (918) 224-7305 |
Stacey R Martin, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 W 125th Pl S Ste 200, Glenpool, OK 74033 Phone: 918-224-7305 | |
Felecia C Smith, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 W 121st St S, Glenpool, OK 74033 Phone: 918-291-5200 | |
Taylor Christine Medina, FNP-C, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 W 151st St S Ste 202, Glenpool, OK 74033 Phone: 918-321-7400 Fax: 918-321-7415 | |
Jamie D Jarvis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 W Main St Ste F, Glenpool, OK 74033 Phone: 918-208-4907 | |
Amanda Lin Simpson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12162 S Waco Ave, Glenpool, OK 74033 Phone: 918-304-8119 |