| Amy Stark, | |
|
101 W Hefner Rd Ste 100, Oklahoma City, OK 73114-6631 | |
| (405) 896-8058 | |
| (855) 223-1999 |
| Full Name | Amy Stark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 101 W Hefner Rd Ste 100, Oklahoma City, 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 |
|---|---|---|---|
| 1477098754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2016042121 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 208100 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida First Care Inc | Orange park, FL | Home health agency |
| Nurse On Call | Daytona beach, FL | Home health agency |
| Medical Services Of America Home Health | Jacksonville, FL | Home health agency |
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Community Hospice Of Northeast Florida Inc | Jacksonville, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Abode Care Partners Al Vb Llc | 1658403704 | 50 |
| Shc Medical Partners Of Florida, Llc | 7618046517 | 12 |
| Abode Care Partners Ltc Vb Llc | 8325316516 | 82 |
| Entity Name | Shc Medical Partners Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861677064 PECOS PAC ID: 7618046517 Enrollment ID: O20080519000422 |
| Entity Name | Abode Care Partners Ltc Vb, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558130716 PECOS PAC ID: 8325316516 Enrollment ID: O20240122002604 |
| Entity Name | Abode Care Partners Al Vb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386413607 PECOS PAC ID: 1658403704 Enrollment ID: O20240219001730 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Stark, 101 W Hefner Rd, Oklahoma City, OK 73114-6631 Ph: (405) 896-8058 | Amy Stark, 101 W Hefner Rd Ste 100, Oklahoma City, OK 73114-6631 Ph: (405) 896-8058 |
Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202 | |
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838 | |
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040 | |
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496 | |
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412 | |
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215 |