Dr David Brent Rotton, DO, FACOS | |
1500 E. Downing, #103, Tahlequah, OK 74464 | |
(918) 207-1140 | |
(918) 207-0335 |
Full Name | Dr David Brent Rotton |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 1500 E. Downing, Tahlequah, 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 |
---|---|---|---|
1548218803 | NPI | - | NPPES |
020043303 | Other | MO | MEDICARE RAILROAD |
244688909 | Medicaid | MO | |
CF9170 | Other | MO | MEDICARE RAILROAD |
100102820A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 118997 (Missouri) | Primary |
208600000X | Surgery | 3315 (Oklahoma) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Health System | Tahlequah, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Health System | 1456255025 | 94 |
Entity Name | Northeastern Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Entity Name | Tahlequah Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881960771 PECOS PAC ID: 4082861349 Enrollment ID: O20120822000336 |
Mailing Address | Practice Location Address |
---|---|
Dr David Brent Rotton, DO, FACOS Po Box 1008, Tahlequah, OK 74465-1008 Ph: (918) 207-1410 | Dr David Brent Rotton, DO, FACOS 1500 E. Downing, #103, Tahlequah, OK 74464 Ph: (918) 207-1140 |
Joel Acopio Malabrigo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511 | |
David James Wilson, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511 | |
Henry Jake Whitener, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 | |
Daniel Lawrence Pablo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3360 Fax: 918-458-3511 | |
Mohamed Yousef Elsagga, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3610 | |
James W Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641 |