Mrs Kristen Bomboy, APRN CNP | |
2010 Boren Blvd, Seminole, OK 74868-2050 | |
(405) 382-4507 | |
(405) 382-5269 |
Full Name | Mrs Kristen Bomboy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 2010 Boren Blvd, Seminole, 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 |
---|---|---|---|
1316983075 | NPI | - | NPPES |
200019070A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | N5739001 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lighthouse Behavioral Wellness Centers | 6406748961 | 26 |
Entity Name | Lighthouse Behavioral Wellness Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen Bomboy, APRN CNP 2010 Boren Blvd, Seminole, OK 74868-2050 Ph: (405) 382-4507 | Mrs Kristen Bomboy, APRN CNP 2010 Boren Blvd, Seminole, OK 74868-2050 Ph: (405) 382-4507 |
Whitney Alyse Robertson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd, Seminole, OK 74868 Phone: 580-436-5111 | |
Breanne Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Highway 9 E, Seminole, OK 74868 Phone: 405-716-9077 | |
Keyanna Renee Rawlins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2407 W Wrangler Blvd Ste B, Seminole, OK 74868 Phone: 405-303-2012 | |
Marah Gail Canfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 W Wrangler Blvd, Seminole, OK 74868 Phone: 405-303-4611 | |
Shehnaz Virani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 E Wrangler Blvd, Seminole, OK 74868 Phone: 405-385-1127 | |
Mrs. Tessa Rae Tate, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 W Wrangler Blvd, Seminole, OK 74868 Phone: 405-382-3650 Fax: 405-382-6028 |