| Andrea Walker, APRN-CNP | |
|
1205 W Main St, Collinsville, OK 74021-3114 | |
| (918) 387-0440 | |
| (918) 921-7706 |
| Full Name | Andrea Walker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1205 W Main St, Collinsville, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285226340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 116016 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 207888 (Oklahoma) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Entity Name | Omni Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174578249 PECOS PAC ID: 9739080490 Enrollment ID: O20040115000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Walker, APRN-CNP 1205 W Main St, Collinsville, OK 74021-3114 Ph: (918) 748-7500 | Andrea Walker, APRN-CNP 1205 W Main St, Collinsville, OK 74021-3114 Ph: (918) 387-0440 |
Shannon Lee Davis, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 W Main St, Collinsville, OK 74021 Phone: 580-819-2606 | |
Mrs. Jaime Watkins, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11595 E 116th St N Ste A, Collinsville, OK 74021 Phone: 918-973-5443 Fax: 918-771-2741 | |
Mrs. Hilary Dawn-anthony Nicholson, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W Main St, Ste 112, Collinsville, OK 74021 Phone: 918-553-8613 Fax: 918-371-2332 | |
Mr. William King Wyatt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14311 E 126th St N, Collinsville, OK 74021 Phone: 918-640-4803 | |
Jennifer Sue Sassin, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 W Main St # 112, Collinsville, OK 74021 Phone: 918-553-8613 | |
Preston Hassell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1609 W Broadway St, Collinsville, OK 74021 Phone: 918-864-5475 | |
Jan Byerly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W Main St, Collinsville, OK 74021 Phone: 918-938-0040 Fax: 918-938-0056 |