Benjamin Martin, MD | |
1921 Stonecipher Blvd, Ada, OK 74820 | |
(580) 421-4570 | |
(580) 421-6283 |
Full Name | Benjamin Martin |
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Gender | Male |
Speciality | Pediatrics |
Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346647849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A130881 (California) | Primary |
Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
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Benjamin Martin, MD 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570 | Benjamin Martin, MD 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570 |
Stefan Iorga, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Arlington St Ste 2, Ada, OK 74820 Phone: 580-436-1506 Fax: 580-436-1519 | |
Abiodun Fatima Balogun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Ronald D Bullard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Jennie Mathew, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Dr. Stephanie Johniece Schofield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Rachel Renee Birchfield, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4550 |