Dr Greggory Jon Woitte, MD | |
100 S Bliss Ave, Tahlequah, OK 74464-2512 | |
(918) 458-3130 | |
(918) 458-3315 |
Full Name | Dr Greggory Jon Woitte |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 100 S Bliss Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336130202 | NPI | - | NPPES |
152094001 | Medicaid | AK | |
200015060A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 23702 (Oklahoma) | Primary |
207V00000X | Obstetrics & Gynecology | 036-105613 (Illinois) | Secondary |
Entity Name | Obhg Oklahoma, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043595374 PECOS PAC ID: 4183881121 Enrollment ID: O20120203000035 |
Mailing Address | Practice Location Address |
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Dr Greggory Jon Woitte, MD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3130 | Dr Greggory Jon Woitte, MD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3130 |
Lana Dawn Myers, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1201 East Ross Bypass, Tahlequah, OK 74464 Phone: 918-207-0991 Fax: 918-456-7570 | |
Dr. David Richard Gahn, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Hastings Indian Medical Center, Tahlequah, OK 74464 Phone: 918-458-3360 Fax: 918-458-3315 | |
Tschantre Eujeania Dorsett, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Downing St Ste 208, Tahlequah, OK 74464 Phone: 918-456-2496 Fax: 918-456-7108 | |
Dr. Calvin P. Monroe, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Downing St Ste 208, Tahlequah, OK 74464 Phone: 918-456-2496 Fax: 918-456-7108 | |
Wallace Jackson Champlain, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1500 E Downing St Ste 208, Tahlequah, OK 74464 Phone: 918-456-2496 Fax: 918-456-7108 | |
Dr. William Trousdale, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 |