Chadwick B Ross, DO | |
1900 N 14th St, Ponca City, OK 74601-2035 | |
(580) 765-3321 | |
(580) 765-0597 |
Full Name | Chadwick B Ross |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 1900 N 14th St, Ponca City, 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 |
---|---|---|---|
1750356861 | NPI | - | NPPES |
200069260A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4329 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Bass Baptist Health Center | Enid, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ponca City Immediate Care, Llc | 3173854437 | 5 |
Entity Name | Emergency Services Of Oklahoma Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
Entity Name | South Central Emergency Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
Entity Name | Ponca City Immediate Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740837889 PECOS PAC ID: 3173854437 Enrollment ID: O20191017001462 |
Entity Name | Bradley Bibb Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194572040 PECOS PAC ID: 4789715285 Enrollment ID: O20240520001147 |
Mailing Address | Practice Location Address |
---|---|
Chadwick B Ross, DO 1321 Sw 116th Ter, Oklahoma City, OK 73170-4461 Ph: (405) 378-2150 | Chadwick B Ross, DO 1900 N 14th St, Ponca City, OK 74601-2035 Ph: (580) 765-3321 |
Loyd Kevin Jones, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 Fax: 580-765-0597 | |
Edward J Scovill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 Fax: 580-765-0597 | |
Danny J Cassidy, M.D, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 Fax: 580-765-0597 |