Emily Ault, APRN | |
2401 N Commerce St Ste A, Ardmore, OK 73401-1311 | |
(580) 798-4122 | |
(580) 319-7812 |
Full Name | Emily Ault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 2401 N Commerce St Ste A, Ardmore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477957355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0077041 (Oklahoma) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 77041 (Oklahoma) | Primary |
Entity Name | Home Reach Mobile Wound Care Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629807375 PECOS PAC ID: 8123557188 Enrollment ID: O20250121003178 |
Mailing Address | Practice Location Address |
---|---|
Emily Ault, APRN Po Box 287, Caddo, OK 74729-0287 Ph: (580) 775-1820 | Emily Ault, APRN 2401 N Commerce St Ste A, Ardmore, OK 73401-1311 Ph: (580) 798-4122 |
Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009 | |
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Toni Headstream, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401 Phone: 254-485-0338 | |
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427 | |
Jodi Robinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Walnut Dr Ste 2, Ardmore, OK 73401 Phone: 580-226-8310 Fax: 580-223-3911 | |
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989 | |
Dana Michelle Herring, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1675 12th Ave Nw, Ardmore, OK 73401 Phone: 580-798-0234 |