Gustavo Adolfo Fabrega, MD | |
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
(580) 355-8620 | |
Not Available |
Full Name | Gustavo Adolfo Fabrega |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 3401 W Gore Blvd, Lawton, 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 |
---|---|---|---|
1649467390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 28388 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Comanche County Memorial Hospital | Lawton, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergenchealth Pllc | 1355606641 | 540 |
Entity Name | Southwest Anesthesia - Service Of Comanche County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255363313 PECOS PAC ID: 6901985043 Enrollment ID: O20080501000000 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Mailing Address | Practice Location Address |
---|---|
Gustavo Adolfo Fabrega, MD 3709 Ne Eastlake Dr, Lawton, OK 73507-4205 Ph: (225) 936-2229 | Gustavo Adolfo Fabrega, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 |
Dr. Oksana I Martsinkevich, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-531-8687 | |
Dr. Kanchan Lal Lodhia, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Mockingbird Rd, Lawton, OK 73507 Phone: 580-250-0789 Fax: 580-458-2458 | |
Dr. Beatrice S Christopher, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5000 | |
Kathryn S Newport, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5602 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-531-4700 Fax: 580-531-6477 | |
Charles E Mortensen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 | |
Handel F Pascoe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 | |
Richard Eric Johnson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Department Of Anesthesiology, Lawton, OK 73502 Phone: 580-355-8620 Fax: 580-536-2292 |