John W Goulart, DO | |
620 S Madison St, Suite 108, Enid, OK 73701-7270 | |
(580) 234-2289 | |
(580) 249-4350 |
Full Name | John W Goulart |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 620 S Madison St, Enid, 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 |
---|---|---|---|
1417957085 | NPI | - | NPPES |
200032320A | Medicaid | OK | |
P00155199 | Other | OK | RR MEDICARE |
200032320B | Other | OK | MEDICAID OSU AJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4191 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Bass Baptist Health Center | Enid, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integris Ambulatory Care Corporation | 2365408465 | 427 |
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 |
---|---|
John W Goulart, DO 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (580) 234-2289 | John W Goulart, DO 620 S Madison St, Suite 108, Enid, OK 73701-7270 Ph: (580) 234-2289 |
David W Shepherd, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 S 5th St Ste 401, Enid, OK 73701 Phone: 580-249-3898 Fax: 580-234-9625 | |
Dr. Mike Glenn Nolen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 915 E Owen K Garriott Rd, Enid, OK 73701 Phone: 580-237-8900 Fax: 580-237-4111 | |
Dr. Ronald Wayne Shreck, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 407 E Cherokee Ave, Enid, OK 73701 Phone: 580-242-7020 Fax: 580-233-1617 | |
Martin Craig Bozeman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 S 5th St Ste 401, Enid, OK 73701 Phone: 580-249-3898 Fax: 580-234-9625 | |
Gary Wayne Cole, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St Ste 108, Enid, OK 73701 Phone: 580-977-1901 Fax: 580-249-4350 | |
Edwin K Cole, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 S 5th St Ste 401, Enid, OK 73701 Phone: 580-249-3898 Fax: 580-234-9625 |