| Sara Buster, | |
|
304 S 29th St, Chickasha, OK 73018-2501 | |
| (405) 816-8058 | |
| (855) 223-1999 |
| Full Name | Sara Buster |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 304 S 29th St, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265972822 | NPI | - | NPPES |
| 201245280A | Medicaid | KS | |
| 200727820A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 110831 (Oklahoma) | Primary |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| 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 | Jones Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043524861 PECOS PAC ID: 9133313778 Enrollment ID: O20101028000080 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Buster, 304 S 29th St, Chickasha, OK 73018-2501 Ph: (405) 896-8058 | Sara Buster, 304 S 29th St, Chickasha, OK 73018-2501 Ph: (405) 816-8058 |
Alisa Tarasova, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 058-968-0584 Fax: 855-223-1999 | |
Ms. Kaletha Lynell Hightower, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Texas Ave, Chickasha, OK 73018 Phone: 405-604-7995 | |
Kimberly Schat, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 W Chickasha Ave, Chickasha, OK 73018 Phone: 405-892-8423 | |
Jerrus Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2244 | |
Heather Michelle Rowell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-0053 | |
Martina Miner, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 |