Stacey Lynn Smith, | |
2011 W Broadway Ave, Sulphur, OK 73086-4221 | |
(580) 622-2161 | |
(580) 622-6455 |
Full Name | Stacey Lynn Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2011 W Broadway Ave, Sulphur, 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 |
---|---|---|---|
1225556681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 97016 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arbuckle Home Health, Inc | Sulphur, OK | Home health agency |
Arbuckle Memorial Hospital | Sulphur, OK | Hospital |
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arbuckle Memorial Hospital | 0840104956 | 7 |
Entity Name | Arbuckle Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730541673 PECOS PAC ID: 0840104956 Enrollment ID: O20031113000508 |
Mailing Address | Practice Location Address |
---|---|
Stacey Lynn Smith, Po Box 1109, Sulphur, OK 73086-8109 Ph: (580) 622-8206 | Stacey Lynn Smith, 2011 W Broadway Ave, Sulphur, OK 73086-4221 Ph: (580) 622-2161 |
Mrs. Candice Woods, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-4482 | |
Brenda Kay Winters, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-4482 Fax: 580-622-5509 | |
John Carroll Casady Jr., APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 Fairlane Ave, Sulphur, OK 73086 Phone: 580-622-2144 | |
Tyger Michelle Freeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-2161 Fax: 580-622-6455 |