| Jamie Spence, APRN - CNS | |
|
731 12th Ave Nw Ste 302, Ardmore, OK 73401-5765 | |
| (580) 220-6200 | |
| (580) 220-6258 |
| Full Name | Jamie Spence |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 10 Years |
| Location | 731 12th Ave Nw Ste 302, Ardmore, 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 |
|---|---|---|---|
| 1861845190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 72205 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ada | Ada, OK | Hospital |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Holdenville General Hospital | Holdenville, OK | Hospital |
| Arbuckle Memorial Hospital | Sulphur, OK | Hospital |
| Chickasaw Nation Medical Center | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Medical Pllc | 9739508698 | 4 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Genesis Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578174074 PECOS PAC ID: 9739508698 Enrollment ID: O20200928001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Spence, APRN - CNS 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 Ph: (580) 223-5180 | Jamie Spence, APRN - CNS 731 12th Ave Nw Ste 302, Ardmore, OK 73401-5765 Ph: (580) 220-6200 |
Tamara Rae Brunk, APRN-CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1115 Walnut Dr, Ardmore, OK 73401 Phone: 580-223-7472 Fax: 580-223-6673 |