Dr Samson Mulu Ambaw, MD | |
9230 E. Reno Ave Suite B, Midwest City, OK 73130 | |
(405) 737-4900 | |
(405) 737-3606 |
Full Name | Dr Samson Mulu Ambaw |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 21 Years |
Location | 9230 E. Reno Ave Suite B, Midwest 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 |
---|---|---|---|
1356521033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 62937 (Georgia) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 28940 (Oklahoma) | Primary |
208M00000X | Hospitalist | N3441 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Mid-del Home Training | Oklahoma city, OK | Dialysis facility |
Davita - Midwest City | Midwest city, OK | Dialysis facility |
Davita - Shawnee | Shawnee, OK | Dialysis facility |
Davita - Rose Rock Dialysis | Oklahoma city, OK | Dialysis facility |
Fmcna - North Central Oklahoma City | Oklahoma city, OK | Dialysis facility |
Alliancehealth Midwest | Midwest city, OK | Hospital |
Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
Oklahoma Heart Hospital South, Llc | Oklahoma city, OK | Hospital |
Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Nephrology Group Pllc | 7214210624 | 5 |
Entity Name | Midwest Nephrology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306396775 PECOS PAC ID: 7214210624 Enrollment ID: O20170209001005 |
Mailing Address | Practice Location Address |
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Dr Samson Mulu Ambaw, MD 9230 E. Reno Ave Suite B, Midwest City, OK 73130 Ph: (405) 737-4900 | Dr Samson Mulu Ambaw, MD 9230 E. Reno Ave Suite B, Midwest City, OK 73130 Ph: (405) 737-4900 |
Dr. Stephen A Hamilton, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 230 N Midwest Blvd, Midwest City, OK 73110 Phone: 405-737-8455 Fax: 405-739-8707 | |
Dr. Mohammed Naveed Ahmed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8121 National Ave Ste 300, Midwest City, OK 73110 Phone: 405-610-3023 Fax: 405-733-0779 | |
Dr. Bereket Alemu, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9230 E Reno Ave, Suite B, Midwest City, OK 73130 Phone: 405-737-4900 Fax: 405-737-3606 | |
Vaqar Ahmad, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8121 National Ave, Suite 402, Midwest City, OK 73110 Phone: 405-736-6095 Fax: 405-736-6682 | |
Aneesh Venkat Pakala, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6951 Se 15th St, Midwest City, OK 73110 Phone: 405-233-0450 Fax: 405-233-0451 | |
Arif A Shakir, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 412 S Air Depot Blvd, Ste B, Midwest City, OK 73110 Phone: 405-737-2800 Fax: 405-737-2858 |