Jodie H Moore, APRN-CNP | |
415 6th St, Boswell, OK 74727-7472 | |
(580) 566-2530 | |
(580) 566-2533 |
Full Name | Jodie H Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 415 6th St, Boswell, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669031266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 86293 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mays Housecall Home Health Of Antlers, Llc | Antlers, OK | Home health agency |
Encompass Health Home Health Of Southeast Oklahoma | Hugo, OK | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pushmataha Family Medical Center, Inc | 9537189261 | 13 |
Entity Name | Coal County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750459756 PECOS PAC ID: 8022901396 Enrollment ID: O20041012000102 |
Entity Name | Pushmataha Family Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891882676 PECOS PAC ID: 9537189261 Enrollment ID: O20081114000464 |
Entity Name | Southeast Oklahoma Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467993253 PECOS PAC ID: 8527324680 Enrollment ID: O20171107001072 |
Mailing Address | Practice Location Address |
---|---|
Jodie H Moore, APRN-CNP 415 6th St, Boswell, OK 74727 Ph: (580) 566-2530 | Jodie H Moore, APRN-CNP 415 6th St, Boswell, OK 74727-7472 Ph: (580) 566-2530 |
Amanda Lyn Vandenburg, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 6th Street, Boswell, OK 74727 Phone: 580-566-2530 Fax: 580-566-2533 | |
Haylie Ashtyn Mata, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 E 2040 Rd, Boswell, OK 74727 Phone: 580-920-5870 |