Dr Theodore Mark Rutledge, MD | |
1921 Stonecipher Dr, Ada, OK 74820-3439 | |
(580) 436-3980 | |
(580) 421-6283 |
Full Name | Dr Theodore Mark Rutledge |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 1921 Stonecipher Dr, Ada, 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 |
---|---|---|---|
1508942285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E5021 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chickasaw Nation Medical Center | Ada, OK | Hospital |
O U Medical Center | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center | 8426957523 | 219 |
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 Theodore Mark Rutledge, MD 1925 Warrior Way, Ada, OK 74820-3491 Ph: (580) 421-4570 | Dr Theodore Mark Rutledge, MD 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980 |
Gary L Paddack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 902 Arlington Ctr, Pmb 224, Ada, OK 74820 Phone: 580-436-2262 Fax: 580-272-0186 | |
Dr. Shirley J Welden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Dr. Shrina Parekh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-301-6465 | |
Elizabeth Omojasola Omoniyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Monte Vista St Ste A, Ada, OK 74820 Phone: 580-453-3545 Fax: 580-453-3546 | |
Steven Louis Fillmore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Dr. Quyen Thanh Ha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 N Monte Vista St, Valley View Reg Hospital Wound Care Center, Ada, OK 74820 Phone: 580-272-1731 Fax: 580-272-1720 | |
Jerry S Morgan, M D L L C Internal Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-272-2708 |