Jesse Grant, MD | |
2701 N Rockwell Ave, Bethany, OK 73008-5246 | |
(405) 789-4150 | |
(405) 789-1067 |
Full Name | Jesse Grant |
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Gender | Male |
Speciality | Family Medicine |
Location | 2701 N Rockwell Ave, Bethany, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871118208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35971 (Oklahoma) | Primary |
Entity Name | Mercy Clinic Oklahoma Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Mailing Address | Practice Location Address |
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Jesse Grant, MD 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150 | Jesse Grant, MD 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150 |
Russell D. Ingram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-8550 Fax: 405-787-4982 | |
Dr. Dustin R Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-470-6510 Fax: 405-470-6520 | |
Debra A. Riggs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Rockwell Ave, Bethany, OK 73008 Phone: 405-789-4150 Fax: 405-787-7920 | |
Dr. Wade T Mccoy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-7747 Fax: 405-789-6734 | |
Dr. Joseph C Broome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-4915 Fax: 405-789-6303 | |
Dr. David E Fisher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-8550 Fax: 405-789-6734 | |
Dr. Heather Rene Lynch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Rockwell Ave, Bethany, OK 73008 Phone: 405-789-4150 Fax: 405-491-0743 |