Dr David Evans De Gaston, MD | |
4801 Se 15th St Ste 300, Del City, OK 73115-3918 | |
(405) 702-9400 | |
(405) 702-9437 |
Full Name | Dr David Evans De Gaston |
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Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 4801 Se 15th St Ste 300, Del 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 |
---|---|---|---|
1457701609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 32239 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phoenix Home Health Agency, L L C | Spencer, OK | Home health agency |
Genesis Healthcare,llc | Durant, OK | Home health agency |
Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integris Ambulatory Care Corporation | 2365408465 | 427 |
Great Plains Medical Foundation | 9335188184 | 12 |
Entity Name | Integris Ambulatory Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Entity Name | Great Plains Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285708164 PECOS PAC ID: 9335188184 Enrollment ID: O20050430000033 |
Mailing Address | Practice Location Address |
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Dr David Evans De Gaston, MD 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 Ph: (405) 702-9400 | Dr David Evans De Gaston, MD 4801 Se 15th St Ste 300, Del City, OK 73115-3918 Ph: (405) 702-9400 |
Dr. Thomas J Carlile, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3916 S Sunnylane Rd, Del City, OK 73115 Phone: 405-677-3378 Fax: 405-677-3950 | |
Cynthia Gayle Johnson, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4330 Se 29th St Ste 3018, Del City, OK 73115 Phone: 405-670-8100 | |
Steven Wayne Ditto, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Se 15th St Ste 300, Del City, OK 73115 Phone: 405-702-9400 Fax: 405-702-9437 | |
Renee Roy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 Tinker Diagonal, Del City, OK 73115 Phone: 405-632-6688 | |
Audralan Fox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5472 Main St Ste 101, Del City, OK 73115 Phone: 904-421-2119 Fax: 405-271-2797 | |
Yung-hye Choe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1221 S Sunnylane Rd, Del City, OK 73115 Phone: 405-677-2424 Fax: 405-677-6740 |