| Amanda L Welch, APRN-CNP PMHNP-BC | |
|
2508 N Harrison St, Shawnee, OK 74804-3131 | |
| (405) 585-2030 | |
| (405) 857-3122 |
| Full Name | Amanda L Welch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2508 N Harrison St, Shawnee, 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 |
|---|---|---|---|
| 1093444309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 208180 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Absentee Shawnee Tribal Health Authority, Inc | 5799171088 | 81 |
| Crossroads Medical Management Llc | 4183856784 | 5 |
| Entity Name | Absentee Shawnee Tribal Health Authority, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
| Entity Name | Balance Womens Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790186385 PECOS PAC ID: 3476927740 Enrollment ID: O20230328002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L Welch, APRN-CNP PMHNP-BC 36264 Ew 1190, Seminole, OK 74868-6622 Ph: (405) 905-7137 | Amanda L Welch, APRN-CNP PMHNP-BC 2508 N Harrison St, Shawnee, OK 74804-3131 Ph: (405) 585-2030 |
Mrs. Lauren M Rubino, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 N Kickapoo Ave Ste 116, Shawnee, OK 74804 Phone: 405-551-8103 | |
Dustin Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 | |
Mrs. Sabrina R Lafrance, CNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Redbud Ln, Shawnee, OK 74801 Phone: 509-554-9250 | |
Dr. Magdalyn Boegler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804 Phone: 405-214-1700 | |
Mrs. Destiny Ruosa Mitchell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 781 Grand Casino Blvd, Shawnee, OK 74804 Phone: 405-964-5770 Fax: 405-964-5788 | |
Candice Hamre, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 Fax: 405-857-3122 |