| Mrs Amanda A Elfezzazi, APRN-CNP, AGPCNP | |
|
416420 Ensign Ln, Checotah, OK 74426-2287 | |
| (918) 774-5883 | |
| Not Available |
| Full Name | Mrs Amanda A Elfezzazi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 416420 Ensign Ln, Checotah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144000944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 215389 (Oklahoma) | Primary |
| Entity Name | Pmo Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780054627 PECOS PAC ID: 1153603832 Enrollment ID: O20170113001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda A Elfezzazi, APRN-CNP, AGPCNP Po Box 1931, Sallisaw, OK 74955-1931 Ph: (918) 774-5883 | Mrs Amanda A Elfezzazi, APRN-CNP, AGPCNP 416420 Ensign Ln, Checotah, OK 74426-2287 Ph: (918) 774-5883 |
Kelly Hokit, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mcintosh County Health Department, 211 West Gentry, Checotah, OK 74426 Phone: 918-473-1841 Fax: 918-473-1841 | |
Mrs. Teresa Lynne Brown, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 West Gentry Avenue, Mcintosh County Health Department, Checotah, OK 74469 Phone: 918-473-5416 Fax: 918-473-1841 | |
Shelby Hatridge, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 N Broadway St, Checotah, OK 74426 Phone: 918-410-0200 | |
Melinda Kay Schuering, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Sw 4th St, Checotah, OK 74426 Phone: 918-617-5262 | |
Amber Henson, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 Nw 6th St, Checotah, OK 74426 Phone: 918-617-7714 | |
Valerie Suzanne Kautz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 W Spaulding St, Checotah, OK 74426 Phone: 918-473-0048 Fax: 918-473-4547 |