Kevin Anderson, DO | |
2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 | |
(405) 224-2100 | |
(405) 779-2855 |
Full Name | Kevin Anderson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 2100 W Iowa Ave, Chickasha, 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 |
---|---|---|---|
1154655157 | NPI | - | NPPES |
200312900B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4878 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifeline Home Health Care, Inc | Chickasha, OK | Home health agency |
Grady Memorial Hospital | Chickasha, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grady Memorial Hospital | 0648175778 | 40 |
Entity Name | Grady Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
Entity Name | Grady Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164859260 PECOS PAC ID: 0648175778 Enrollment ID: O20150520000323 |
Mailing Address | Practice Location Address |
---|---|
Kevin Anderson, DO 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 | Kevin Anderson, DO 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 Ph: (405) 224-2100 |
Mrs. Abby Marie Housman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2855 | |
Katie Allyse Dudley, APRN, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 | |
Mary Masterman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 | |
Kacey L Wallace, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 W Choctaw Ave Ste 9, Chickasha, OK 73018 Phone: 405-544-2940 Fax: 405-337-9632 | |
Sibin Nair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 | |
Jeffrey Lee Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 |