James Dull Rutter Iv, MD | |
900 E 13th St, Suite 101, Grove, OK 74344-2976 | |
(918) 786-9900 | |
(918) 786-9904 |
Full Name | James Dull Rutter Iv |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 28 Years |
Location | 900 E 13th St, Grove, 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 |
---|---|---|---|
1649258369 | NPI | - | NPPES |
209007509 | Medicaid | MO | |
100103090B | Medicaid | OK | |
200505990H | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21574 (Oklahoma) | Primary |
208000000X | Pediatrics | 21574 (Oklahoma) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Grove, OK | Home health agency |
Integris Home Care Miami | Miami, OK | Home health agency |
Good Shepherd Hospice | Grove, OK | Hospice |
Integris Grove Hospital | Grove, OK | Hospital |
Integris Miami Hospital | Miami, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integris Grove Hospital | 0042105835 | 12 |
Entity Name | Integris Grove Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134720592 PECOS PAC ID: 0042105835 Enrollment ID: O20040219000842 |
Entity Name | Integris Ambulatory Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Mailing Address | Practice Location Address |
---|---|
James Dull Rutter Iv, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (918) 786-9900 | James Dull Rutter Iv, MD 900 E 13th St, Suite 101, Grove, OK 74344-2976 Ph: (918) 786-9900 |
Mr. Paul Edward Callicoat Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E 13th St, Suite 200, Grove, OK 74344 Phone: 918-786-7667 Fax: 918-786-7699 | |
Dr. James B Chapman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E 13th St, Suite 200, Grove, OK 74344 Phone: 918-592-0999 Fax: 918-592-1021 | |
Dr. Thomas E Riggs, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29701 S 584 Way, Grove, OK 74344 Phone: 918-786-7169 | |
Dr. Margaret P Ellis, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 E 13th St, Grove, OK 74344 Phone: 918-787-1909 Fax: 918-787-3866 |