Dr Joel Jason Kraft, MD | |
7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | |
(405) 582-6610 | |
Not Available |
Full Name | Dr Joel Jason Kraft |
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Gender | Male |
Speciality | Family Medicine |
Location | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629365572 | NPI | - | NPPES |
200382580A | Medicaid | OK | |
200468380R | Other | OK | GROUP MEDICAID |
900522214 | Other | OK | GROUP MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28499 (Oklahoma) | Primary |
Entity Name | Mercy Clinic Oklahoma Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Mailing Address | Practice Location Address |
---|---|
Dr Joel Jason Kraft, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (918) 786-9009 | Dr Joel Jason Kraft, MD 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 Ph: (405) 582-6610 |
Dr. Ernest Castro Lee, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 8941 Entrance Rd A, 72 Amds/sgpo, Tinker Afb, OK 73145 Phone: 405-734-3401 Fax: 405-734-3404 | |
Dr. Philip M Beck, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 Arnold St, 72 Mdg Flight Medicine, Tinker Afb, OK 73145 Phone: 405-736-2820 | |
Dr. Riana R Berry, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 Phone: 405-734-2778 Fax: 405-736-3165 | |
Kristin Nicole Greer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145 Phone: 405-582-6698 | |
Dr. Luke Joseph Lisherness, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 Phone: 405-734-2778 Fax: 405-736-3430 |