Elaine Mary Mader, MD | |
200 2nd Ave Sw, Miami, OK 74354-6830 | |
(918) 542-6611 | |
(405) 553-5633 |
Full Name | Elaine Mary Mader |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 200 2nd Ave Sw, Miami, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467427591 | NPI | - | NPPES |
500156005 | Medicaid | MO | |
100193100A | Medicaid | OK | |
100699440M | Medicaid | OK | |
209879907 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 16786 (Oklahoma) | Primary |
Entity Name | Emergency Services Of Oklahoma Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
Entity Name | South Central Emergency Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
Mailing Address | Practice Location Address |
---|---|
Elaine Mary Mader, MD 200 2nd Ave Sw, Miami, OK 74354-6830 Ph: (918) 542-6611 | Elaine Mary Mader, MD 200 2nd Ave Sw, Miami, OK 74354-6830 Ph: (918) 542-6611 |
John Clark Osborn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 2nd Ave Sw, 107-b, Miami, OK 74354 Phone: 918-540-7730 Fax: 918-540-7797 | |
Merlin Joe Kilbury Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7573 Fax: 918-540-7590 |