Samantha Lynn Mccullough, FNP-C | |
10728 N 152nd East Ave, Owasso, OK 74055-6384 | |
(918) 914-0675 | |
Not Available |
Full Name | Samantha Lynn Mccullough |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10728 N 152nd East Ave, Owasso, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003542168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R0124315 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209493 (Oklahoma) | Primary |
Entity Name | Medwise Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629604434 PECOS PAC ID: 8820410970 Enrollment ID: O20200619000314 |
Mailing Address | Practice Location Address |
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Samantha Lynn Mccullough, FNP-C 10728 N 152nd East Ave, Owasso, OK 74055-6384 Ph: (918) 914-0675 | Samantha Lynn Mccullough, FNP-C 10728 N 152nd East Ave, Owasso, OK 74055-6384 Ph: (918) 914-0675 |
Mary Grace Deborah Belford Bone Schurter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9003 N Garnett Rd, Owasso, OK 74055 Phone: 918-272-2882 | |
Samantha England, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12105 E 90th St N, Owasso, OK 74055 Phone: 918-645-9325 | |
Julie Shaffer, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11426 N 134th East Ave, Owasso, OK 74055 Phone: 918-727-2273 | |
Rachel Ann Johnson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N, Owasso, OK 74055 Phone: 405-757-7818 Fax: 405-703-0645 | |
Elizabeth Flores, APRNCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12451 E 100th St N, Owasso, OK 74055 Phone: 918-274-5000 | |
Sharalee Savage, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15214 E 90th Ct N, Owasso, OK 74055 Phone: 918-272-2170 | |
Ilona Willyard, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8422 N 123rd East Ave, Owasso, OK 74055 Phone: 918-858-4353 |