| Amanda Lyn Vandenburg, APRN-CNP | |
|
415 6th Street, Boswell, OK 74727-0000 | |
| (580) 566-2530 | |
| (580) 566-2533 |
| Full Name | Amanda Lyn Vandenburg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 415 6th Street, 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 |
|---|---|---|---|
| 1528430998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 73707 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health Of Southeast Oklahoma | Hugo, OK | Home health agency |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Alliancehealth Durant | Durant, OK | Hospital |
| Texoma Medical Center | Denison, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pushmataha Family Medical Center, Inc | 9537189261 | 13 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lyn Vandenburg, APRN-CNP Po Box 219, Clayton, OK 74536-0219 Ph: (918) 917-9999 | Amanda Lyn Vandenburg, APRN-CNP 415 6th Street, Boswell, OK 74727-0000 Ph: (580) 566-2530 |
Jodie H Moore, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Boswell, OK 74727 Phone: 580-566-2530 Fax: 580-566-2533 | |
Haylie Ashtyn Mata, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 E 2040 Rd, Boswell, OK 74727 Phone: 580-920-5870 |