Dr Brad Alan Liston, DO | |
1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | |
(580) 763-5900 | |
(580) 763-5901 |
Full Name | Dr Brad Alan Liston |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1908 N 14th St Ste 204, 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 |
---|---|---|---|
1487817375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 4659 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
Homecall | Stillwater, OK | Home health agency |
Ponca City Medical Center | Ponca city, OK | Hospital |
Stillwater Medical Center | Stillwater, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integris Ambulatory Care Corporation | 2365408465 | 427 |
Entity Name | Integris Ambulatory Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Mailing Address | Practice Location Address |
---|---|
Dr Brad Alan Liston, DO 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 Ph: (580) 763-5900 | Dr Brad Alan Liston, DO 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 Ph: (580) 763-5900 |
Karen S Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 421 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-3342 Fax: 580-762-5841 | |
Dr. Mark A Oatman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 S Mccord Rd, Ponca City, OK 74604 Phone: 580-747-9039 | |
Monica Dawn Leach, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 | |
Mark Edward Rigney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Fairview Ave Ste 1, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bienvenido Dena Paz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 Fax: 580-765-7289 | |
Aaron Paul Wilcox, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Fairview Ave Ste 201, Ponca City, OK 74601 Phone: 580-762-9355 Fax: 580-762-3420 |