Dr Jeremy Patrick Holter, MD | |
3315 Kethley Rd, Shawnee, OK 74804-9638 | |
(405) 273-5801 | |
(405) 878-3814 |
Full Name | Dr Jeremy Patrick Holter |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 3315 Kethley Rd, Shawnee, 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 |
---|---|---|---|
1003859778 | NPI | - | NPPES |
200057970A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22964 (Oklahoma) | Primary |
208000000X | Pediatrics | 22964 (Oklahoma) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Loving Care In Home Health Services, Llc | Noble, OK | Home health agency |
Ssm Health At Home Home Health - Oklahoma | Oklahoma city, OK | Home health agency |
Carter Healthcare Of Central Oklahoma, Llc | Oklahoma city, OK | Home health agency |
Angelic Family Hospice Llc | Shawnee, OK | Hospice |
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shawnee Medical Center Clinic, Inc. | 3870405434 | 76 |
Saints Medical Group, Llc | 7012914898 | 358 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Shawnee Medical Center Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
Entity Name | Ssm Health Care Of Oklahoma, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
Entity Name | Saints Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Patrick Holter, MD Po Box 849, Shawnee, OK 74802-0849 Ph: (405) 273-5801 | Dr Jeremy Patrick Holter, MD 3315 Kethley Rd, Shawnee, OK 74804-9638 Ph: (405) 273-5801 |
Raphael C Francisco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Dr. Michael W. Butcher, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Kelli Denise Koons, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Isma Nusrat Javed, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 Phone: 404-273-5801 | |
Dr. Phillip A. Haddad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Harold Stanley Wood, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |