| Tina Marie Fort, APRN, NP-C | |
|
218 N Main St, Eufaula, OK 74432-1633 | |
| (918) 689-7705 | |
| Not Available |
| Full Name | Tina Marie Fort |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 218 N Main St, Eufaula, 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 |
|---|---|---|---|
| 1033763776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 83414 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Health System | Tahlequah, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Mcalester Regional Health Center | Mcalester, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amc Medical Clinic I Llc | 6901235563 | 8 |
| Entity Name | Amc Medical Clinic I Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295368587 PECOS PAC ID: 6901235563 Enrollment ID: O20200401003332 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Marie Fort, APRN, NP-C 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Tina Marie Fort, APRN, NP-C 218 N Main St, Eufaula, OK 74432-1633 Ph: (918) 689-7705 |
Jeannie E Arnold, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Forrest Ave, Eufaula, OK 74432 Phone: 918-689-2547 Fax: 918-689-3643 | |
Amanda J Iskey, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Eunice Burns Rd, Eufaula, OK 74432 Phone: 918-689-2547 Fax: 918-618-2167 | |
Terry L Workman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Hospital Dr, Eufaula, OK 74432 Phone: 918-689-3333 Fax: 918-689-3330 | |
Frederick Jeremy Francis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Alexander Dr Ste 108, Eufaula, OK 74432 Phone: 918-618-3647 | |
Crystal Ann Holman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 N Main St, Eufaula, OK 74432 Phone: 918-689-7705 Fax: 855-860-5341 | |
Mrs. Coleen Logan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Forrest Ave Ste C, Eufaula, OK 74432 Phone: 918-490-7011 Fax: 918-490-7015 |