Justin Kent Roulston, DO | |
1921 Stonecipher Blvd, Ada, OK 74820 | |
(580) 421-4570 | |
Not Available |
Full Name | Justin Kent Roulston |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 1921 Stonecipher Blvd, Ada, 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 |
---|---|---|---|
1407144728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5115 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chickasaw Nation Medical Center | Ada, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center | 8426957523 | 219 |
Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
---|---|
Justin Kent Roulston, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570 | Justin Kent Roulston, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570 |
Dr. Olivia Danielle Reed, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 | |
Crystalle M Evans, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4526 | |
Dr. Christopher Goodwill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Melissa Kathleen Colbert, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-3980 | |
Mr. Joshua Medved, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 | |
Kristen Warnock, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Preston Hucks, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 |