| Julia Diaz, APRN | |
|
2011 W Broadway Ave, Sulphur, OK 73086-4221 | |
| (580) 622-4482 | |
| (580) 297-9113 |
| Full Name | Julia Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2011 W Broadway Ave, Sulphur, 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 |
|---|---|---|---|
| 1538531306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 90481 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 94081 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifespring Home Care | Pauls valley, OK | Home health agency |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Diaz, APRN Po Box 1109, Sulphur, OK 73086-8109 Ph: (580) 622-4482 | Julia Diaz, APRN 2011 W Broadway Ave, Sulphur, OK 73086-4221 Ph: (580) 622-4482 |
Mrs. Candice Woods, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-4482 | |
Stacey Lynn Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-2161 Fax: 580-622-6455 | |
Brenda Kay Winters, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-4482 Fax: 580-622-5509 | |
John Carroll Casady Jr., APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 Fairlane Ave, Sulphur, OK 73086 Phone: 580-622-2144 | |
Tyger Michelle Freeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-2161 Fax: 580-622-6455 |