| Stephenie Renee Ingram, CNP-FAMILY | |
|
210 W Main St, Wilburton, OK 74578-4046 | |
| (918) 465-9612 | |
| (918) 465-9613 |
| Full Name | Stephenie Renee Ingram |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 210 W Main St, Wilburton, 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 |
|---|---|---|---|
| 1407129372 | NPI | - | NPPES |
| 200426120A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 72256 (Oklahoma) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 72256 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Professional Home Health | Sallisaw, OK | Home health agency |
| Mcalester Regional Health Center | Mcalester, OK | Hospital |
| Entity Name | Wilburton Family Medical Stephenie Ingram Aprn Cnp Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538671425 PECOS PAC ID: 2264791961 Enrollment ID: O20180125000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephenie Renee Ingram, CNP-FAMILY 210 W Main St, Wilburton, OK 74578-4046 Ph: (918) 465-9612 | Stephenie Renee Ingram, CNP-FAMILY 210 W Main St, Wilburton, OK 74578-4046 Ph: (918) 465-9612 |
Billie Rae Robertson, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 810 Highway 2, Wilburton, OK 74578 Phone: 918-465-0170 | |
Nicholas Weston, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Caddo Ave, Wilburton, OK 74578 Phone: 918-448-4814 |