Dr Brandon R Mason, DO | |
4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 | |
(405) 743-0550 | |
(405) 743-1704 |
Full Name | Dr Brandon R Mason |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 4721 W 6th Ave Ste 130, Stillwater, 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 |
---|---|---|---|
1982046769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | U4426 (Texas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 5594 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stillwater Medical Center | Stillwater, OK | Hospital |
Wilcox Memorial Hospital | Lihue, HI | Hospital |
Ponca City Medical Center | Ponca city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stillwater Radiology Llc | 1153348578 | 3 |
Kauai Medical Clinic | 5092628479 | 125 |
Entity Name | Ctca Physicans Group Of Oklahoma, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053309591 PECOS PAC ID: 2163328774 Enrollment ID: O20031212000074 |
Entity Name | Diagnostic Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427049956 PECOS PAC ID: 8820083645 Enrollment ID: O20040420000018 |
Entity Name | Stillwater Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609911452 PECOS PAC ID: 1153348578 Enrollment ID: O20051025000959 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon R Mason, DO 4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 Ph: (405) 743-0550 | Dr Brandon R Mason, DO 4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 Ph: (405) 743-0550 |
James A. Waltermire, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1301 W 6th Ave, Suite 202, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704 | |
Charles Raymond Horner Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4721 W 6th Ave Ste 130, Stillwater, OK 74074 Phone: 405-743-0550 | |
James D Bullen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 816 S Walnut St, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704 | |
Phillip G Russell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4721 W 6th Ave Ste 130, Stillwater, OK 74074 Phone: 405-743-0550 |