Dr John Timothy Krueger, MD | |
1921 Stonecipher Dr, Ada, OK 74820-3439 | |
(580) 436-3980 | |
(580) 421-6283 |
Full Name | Dr John Timothy Krueger |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1921 Stonecipher Dr, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285600262 | NPI | - | NPPES |
P00260757 | Other | AR | RAILROAD MEDICARE |
05110013100 | Other | AR | QUALCHOICE |
1285600262 | Medicaid | IA | |
5N390 | Other | AR | BLUE CROSS/BLUE SHIELD |
158169001 | Medicaid | AR | |
8436548 | Other | AR | CIGNA |
200102360B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E4605 (Arkansas) | Secondary |
207Q00000X | Family Medicine | 25027 (Oklahoma) | Primary |
Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
---|---|
Dr John Timothy Krueger, MD 1925 Warrior Way, Ada, OK 74820-3491 Ph: (580) 421-4570 | Dr John Timothy Krueger, MD 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980 |
David Frow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Rikki J Scoggin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Dr. Joshua Priddle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 | |
Dr. Joanne Chinnici, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2513 Timber Ter, Ada, OK 74820 Phone: 580-399-7716 | |
Marc J Davis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N Monte Vista St, Suite A, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447 | |
Curtis E Harris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 | |
Patrick Mason, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Boulevard, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6286 |