Jesus E Medina, MD | |
825 Ne 10th St # 4200, Oklahoma City, OK 73104-5417 | |
(405) 271-7559 | |
Not Available |
Full Name | Jesus E Medina |
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Gender | Male |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 825 Ne 10th St # 4200, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033187513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 14989 (Oklahoma) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 14989 (Oklahoma) | Primary |
Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
Entity Name | Ou Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
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Jesus E Medina, MD 1122 Ne 13th St, Ori236, Oklahoma City, OK 73117-1039 Ph: (405) 271-1515 | Jesus E Medina, MD 825 Ne 10th St # 4200, Oklahoma City, OK 73104-5417 Ph: (405) 271-7559 |
Richard D. Kopke, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3400 Nw 56th St, Oklahoma City, OK 73112 Phone: 405-946-5563 Fax: 405-947-6226 | |
Dr. Elena Beth Woodson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114 Phone: 405-608-8833 Fax: 405-608-8818 | |
Dr. John R Houck Jr., MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th Street, Department Of Surgery, Oklahoma City, OK 73104 Phone: 405-456-3409 Fax: 405-456-5952 | |
Chelsey Smith, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Wp 1290, Oklahoma City, OK 73104 Phone: 405-271-5504 | |
Jimmy Argo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5504 | |
Adam Johnson, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 920 Sl Young Blvd, Wp 1290, Oklahoma City, OK 73104 Phone: 405-271-5504 |