James G Prise, MD | |
781 Grand Casino Blvd, Shawnee, OK 74804-1005 | |
(405) 964-5770 | |
(405) 964-5783 |
Full Name | James G Prise |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 45 Years |
Location | 781 Grand Casino Blvd, Shawnee, 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 |
---|---|---|---|
1932134806 | NPI | - | NPPES |
100132580B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19402 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citizen Potawatomi Nation | 3375511488 | 26 |
Entity Name | Citizen Potawatomi Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881981744 PECOS PAC ID: 3375511488 Enrollment ID: O20140123000876 |
Mailing Address | Practice Location Address |
---|---|
James G Prise, MD Po Box 269064, Oklahoma City, OK 73126-9064 Ph: (405) 231-3857 | James G Prise, MD 781 Grand Casino Blvd, Shawnee, OK 74804-1005 Ph: (405) 964-5770 |
Dr. David Lewis Hadley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 N Broadway Ave, Shawnee, OK 74804 Phone: 405-273-7879 Fax: 405-273-7885 | |
Dr. Lara Del Mashek, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-273-2270 Fax: 405-878-3468 | |
Dr. Monika Durska-keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Gaynell Schieber Anderson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-878-8110 Fax: 405-214-1551 | |
Russell Craig Click, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3204 Medical Park Dr, Shawnee, OK 74804 Phone: 405-878-6800 Fax: 405-878-6831 | |
Mitchell A Wolf, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3214 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3794 | |
Michael William Goddard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 N Broadway Ave Ste 300, Shawnee, OK 74801 Phone: 405-395-0399 Fax: 405-395-0330 |