Anibal Mikjail Avila, MD | |
101 S Park Ln, Altus, OK 73521-5731 | |
(580) 379-6140 | |
(580) 379-6149 |
Full Name | Anibal Mikjail Avila |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 8 Years |
Location | 101 S Park Ln, Altus, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659735827 | NPI | - | NPPES |
200929810A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 36299 (Oklahoma) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | BP10055824 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson County Memorial Hospital Authority | Altus, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson County Memorial Hospital Authority | 1759293178 | 54 |
Entity Name | Shawnee Medical Center Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
Entity Name | Jackson County Memorial Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
Mailing Address | Practice Location Address |
---|---|
Anibal Mikjail Avila, MD 800 N Oklahoma Ave Apt 1201, Oklahoma City, OK 73104-4407 Ph: (405) 763-7098 | Anibal Mikjail Avila, MD 101 S Park Ln, Altus, OK 73521-5731 Ph: (580) 379-6140 |
Eteakamba Udoh, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Latoya Teresina Smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Julia Rivera-figueroa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
George S Massingill, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 S Park Ln Ste 200, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Dr. Vicente Yamil Sanchez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Tracy Lee Wilkerson, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 |