| Linda Sue Woodruff, ARNP | |
|
158 E Sunset Dr, Suite B, Medford, OK 73759-2401 | |
| (580) 395-2319 | |
| (580) 395-2551 |
| Full Name | Linda Sue Woodruff |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 158 E Sunset Dr, Medford, 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 |
|---|---|---|---|
| 1568424190 | NPI | - | NPPES |
| 200037530A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R0031696 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
| Integris Home Care Enid | Enid, OK | Home health agency |
| Complete Home Health Of Western Oklahoma | Enid, OK | Home health agency |
| Healthback Of Enid | Enid, OK | Home health agency |
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Bass Baptist Health Center | 0345151981 | 23 |
| Entity Name | Integris Bass Baptist Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124029293 PECOS PAC ID: 0345151981 Enrollment ID: O20031103000717 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Sue Woodruff, ARNP 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (580) 395-2319 | Linda Sue Woodruff, ARNP 158 E Sunset Dr, Suite B, Medford, OK 73759-2401 Ph: (580) 395-2319 |