Dr Donald M Elgin, MD | |
104 Lone Oak Circle, Ft. Gibson, OK 74434 | |
(918) 478-2101 | |
(918) 478-6008 |
Full Name | Dr Donald M Elgin |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 48 Years |
Location | 104 Lone Oak Circle, Ft. Gibson, 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 |
---|---|---|---|
1790892529 | NPI | - | NPPES |
100123270A | Medicaid | OK | |
107709001 | Other | OK | DMERC |
80161083 | Other | OK | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 11727 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 11727 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Traditions Home Care, Inc | Mcalester, OK | Home health agency |
Oklahoma Healthcare Solutions I X | Henryetta, OK | Home health agency |
Restore Home Healthcare Of Oklahoma, Llc | Muskogee, OK | Home health agency |
Outreach Home Health | Muskogee, OK | Home health agency |
Family Choice Hospice, Llc | Tulsa, OK | Hospice |
Northeastern Health System | Tahlequah, OK | Hospital |
Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tahlequah Medical Group Llc | 4082861349 | 14 |
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 Donald M Elgin, MD Po Box 1008, Tahlequah, OK 74465-1008 Ph: (918) 478-2101 | Dr Donald M Elgin, MD 104 Lone Oak Circle, Ft. Gibson, OK 74434 Ph: (918) 478-2101 |
Mr. Charles Robert Mutch, PA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Lone Oak Circle, Ft. Gibson, OK 74434 Phone: 918-478-2101 Fax: 918-478-6008 |