Dr Keley John Booth, MD | |
4401 S Western Ave, Oklahoma City, OK 73109-3413 | |
(918) 664-9892 | |
(918) 664-2521 |
Full Name | Dr Keley John Booth |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 22 Years |
Location | 4401 S Western Ave, Oklahoma City, 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 |
---|---|---|---|
1558387696 | NPI | - | NPPES |
200087480A | Medicaid | OK | |
433243ZPYY | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 22940 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Onecore Health | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Pain And Health Pc | 5193017085 | 3 |
Entity Name | Elite Pain & Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700235645 PECOS PAC ID: 5193017085 Enrollment ID: O20160713002408 |
Mailing Address | Practice Location Address |
---|---|
Dr Keley John Booth, MD Po Box 6491, Norman, OK 73070-6491 Ph: (405) 947-8585 | Dr Keley John Booth, MD 4401 S Western Ave, Oklahoma City, OK 73109-3413 Ph: (918) 664-9892 |
Dr. Elizabeth Anne Williams, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6201 Beaver Creek Rd, Oklahoma City, OK 73162 Phone: 405-210-4198 Fax: 405-703-7595 | |
Dr. Steven J Lantier, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9500 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-475-0680 | |
Rachel Ann George, CAA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-7000 | |
Dr. Martin J Lopez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4525 S Klein Ave, Ste 900, Oklahoma City, OK 73109 Phone: 405-636-1797 | |
Betty J Haywood, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 750 Ne 13th St, Oac 200, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Dr. Suhal S Mahid, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-8000 | |
Dr. Lauren L. Fitzgerald, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 918-392-2944 Fax: 918-664-2521 |