Jacob Aaron Fuller, DO | |
2515 N Whisenant Dr Ste 301, Duncan, OK 73533-2684 | |
(580) 251-6806 | |
Not Available |
Full Name | Jacob Aaron Fuller |
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Gender | Male |
Speciality | Family Medicine |
Location | 2515 N Whisenant Dr Ste 301, Duncan, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669094371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7292 (Oklahoma) | Primary |
Entity Name | Solutions Practice Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104009299 PECOS PAC ID: 5698840775 Enrollment ID: O20081015000361 |
Entity Name | Duncan Regional Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699318147 PECOS PAC ID: 5193613057 Enrollment ID: O20200930003440 |
Mailing Address | Practice Location Address |
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Jacob Aaron Fuller, DO 2621 N Whisenant Dr, Duncan, OK 73533-0911 Ph: () - | Jacob Aaron Fuller, DO 2515 N Whisenant Dr Ste 301, Duncan, OK 73533-2684 Ph: (580) 251-6806 |
Dan F Criswell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Elk Ave, Duncan, OK 73533 Phone: 580-251-6644 Fax: 580-251-6645 | |
Krystal Marie Vonfeldt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2120 W Elk Ave, Duncan, OK 73533 Phone: 580-251-6822 | |
William T Stewart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Harville Rd, Duncan, OK 73533 Phone: 580-252-1373 Fax: 580-252-8336 | |
Francis James Mcgouran Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1334 N Harville Rd, Duncan, OK 73533 Phone: 580-255-8564 Fax: 580-255-8640 | |
Demetra G Cox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Harville Rd, Duncan, OK 73533 Phone: 580-252-1373 Fax: 580-252-8336 | |
Preston A Waters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 N Harville Rd, Duncan, OK 73533 Phone: 580-252-1373 | |
Dr. Mark Rosekelly, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4086 Country Club Rd Ste 2, Duncan, OK 73533 Phone: 580-952-9221 |