Dr Larry Dale Balzer, MD | |
105 S Bryant Ave, Suite #210, Edmond, OK 73034-6399 | |
(405) 359-5229 | |
(405) 359-5214 |
Full Name | Dr Larry Dale Balzer |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 53 Years |
Location | 105 S Bryant Ave, Edmond, 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 |
---|---|---|---|
1235129370 | NPI | - | NPPES |
P00231789 | Other | TX | RAIL ROAD RETIREMENT ID |
108018103 | Other | TX | FIRSTCARE PROVIDER NUMBER |
115029404 | Medicaid | TX | |
100116910A | Medicaid | OK | |
4060556 | Other | TX | HEALTHMARKET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | E1498 (Texas) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 9795 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Texas County Authority | Guymon, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Panhandle Counseling And Health Center, Inc. | 8123324613 | 6 |
Entity Name | Family Medicine Associates Of Edmond Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093940454 PECOS PAC ID: 4688727407 Enrollment ID: O20090727000630 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Dale Balzer, MD 105 S Bryant, Suite #210, Edmond, OK 73034 Ph: (405) 359-5229 | Dr Larry Dale Balzer, MD 105 S Bryant Ave, Suite #210, Edmond, OK 73034-6399 Ph: (405) 359-5229 |
Dr. Kelsey Keoppel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Mrs. Chelsea Renee Lowery, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2557 Old Timbers Dr., Edmond, OK 73034 Phone: 405-669-2600 Fax: 405-500-1232 | |
Dr. Franklin Cleo Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Dr. Sara Elaine Burnett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-2100 | |
Carla A Werner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811 | |
Dr. Jenny Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2611 Kelley Pointe Pkwy, Edmond, OK 73013 Phone: 405-359-0919 | |
Julia Vang, APRN-CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 S Boulevard Ste 108, Edmond, OK 73013 Phone: 405-348-9904 Fax: 833-470-1448 |