Erich H Muckala, DO | |
4500 S Garnett Rd, Ste 300, Tulsa, OK 74146-5229 | |
(918) 728-6194 | |
(918) 664-0267 |
Full Name | Erich H Muckala |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 4500 S Garnett Rd, Tulsa, 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 |
---|---|---|---|
1043411283 | NPI | - | NPPES |
58.002032 | Other | OH | TRAINING LICENSE |
5023 | Other | OK | STATE MEDICAL LISCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 58.002032 (Ohio) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 5023 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center | Kettering, OH | Hospital |
Soin Medical Center | Beaver creek, OH | Hospital |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
Troy Hospital | Troy, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Network Radiologists Inc | 7618960303 | 67 |
Kettering Network Radiologists Inc | 7618960303 | 67 |
Entity Name | Kettering Network Radiologists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20160711002092 |
Mailing Address | Practice Location Address |
---|---|
Erich H Muckala, DO 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146-5229 Ph: (918) 728-6194 | Erich H Muckala, DO 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146-5229 Ph: (918) 728-6194 |
Jonathan Cross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Dr. Kim R Hauger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Nina Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd Ste 300, Tulsa, OK 74146 Phone: 918-728-6194 | |
Dr. Leila Danielle See, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 981-599-5031 | |
Christopher Roman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 S Garnett Rd Ste 112, Tulsa, OK 74146 Phone: 918-935-3550 | |
Dr. Phillip Osborn Flinn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-934-8347 Fax: 918-917-4114 | |
Shawn D Grant, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-7720 |