| Amber Dawn Wolfe, APRN-CNP | |
|
111 W. Main St., Ft. Cobb, OK 73038 | |
| (405) 632-6688 | |
| Not Available |
| Full Name | Amber Dawn Wolfe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 111 W. Main St., Ft. Cobb, 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 |
|---|---|---|---|
| 1760757140 | NPI | - | NPPES |
| 200447170 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 87835 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ally Home Health Llc | Binger, OK | Home health agency |
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Weatherford Regional Hospital, Inc Of Weatherford | Weatherford, OK | Hospital |
| Carnegie Tri-county Municipal Hospital | Carnegie, OK | Hospital |
| The Physicians' Hospital In Anadarko | Anadarko, OK | Hospital |
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Variety Care, Inc. | 1557260007 | 105 |
| Williams Medical Group Practice, Llc | 3375832157 | 211 |
| Entity Name | Variety Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467 |
| Entity Name | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Dawn Wolfe, APRN-CNP 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 643-2858 | Amber Dawn Wolfe, APRN-CNP 111 W. Main St., Ft. Cobb, OK 73038 Ph: (405) 632-6688 |