Dr Keith Stacy Patterson, DO | |
10512 North 110th East Avenue, Owasso, OK 74055-6636 | |
(918) 376-8900 | |
(918) 272-7475 |
Full Name | Dr Keith Stacy Patterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 10512 North 110th East Avenue, Owasso, 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 |
---|---|---|---|
1306853874 | NPI | - | NPPES |
200091850A | Medicaid | OK | |
4322 | Other | OK | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4322 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring Xxv | Mcalester, OK | Home health agency |
Bailey Medical Center, Llc | Owasso, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Ahs Oklahoma Physician Group Llc | 9436122496 | 302 |
Entity Name | Ahs Oklahoma Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Stacy Patterson, DO 10512 N 110th East Ave, Owasso, OK 74055-6636 Ph: (918) 376-8900 | Dr Keith Stacy Patterson, DO 10512 North 110th East Avenue, Owasso, OK 74055-6636 Ph: (918) 376-8900 |
Bryan Vannuel Marsh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13616 E 103rd Street N, Suite A, Owasso, OK 74055 Phone: 918-274-8555 Fax: 918-274-8556 | |
Dr. David Lee Smith, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 13600 E 86th St N, Ste 100, Owasso, OK 74055 Phone: 918-272-9313 Fax: 918-403-6311 | |
Anne Marjorie Jones, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N Ste 220, Owasso, OK 74055 Phone: 918-274-5510 | |
Sharon Sodano Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13600 E 86th St N, Owasso, OK 74055 Phone: 918-272-2247 | |
Dr. Jack Robin Snedden Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10502 North 110th East Avenue, Owasso, OK 74055 Phone: 918-376-8590 Fax: 918-376-8549 | |
Chelsea Leigh Mcdonald, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8551 N 125th East Ave Ste 175, Owasso, OK 74055 Phone: 918-265-3797 |