Larry Grant Willis, MD | |
1110 N Lee Ave, Oklahoma City, OK 73103-2612 | |
(405) 230-9000 | |
(405) 230-9443 |
Full Name | Larry Grant Willis |
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Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 1110 N Lee Ave, 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 |
---|---|---|---|
1952309155 | NPI | - | NPPES |
730714291-016 | Other | OK | BCBS OF OKLAHOMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 10557 (Oklahoma) | Primary |
Entity Name | Mcbride Clinic Orthopedic Hospital, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659413649 PECOS PAC ID: 3678514809 Enrollment ID: O20051221000780 |
Mailing Address | Practice Location Address |
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Larry Grant Willis, MD Po Box 268981, Oklahoma City, OK 73126-8981 Ph: (405) 230-9000 | Larry Grant Willis, MD 1110 N Lee Ave, Oklahoma City, OK 73103-2612 Ph: (405) 230-9000 |
Evelyn Lorents, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Patrick Bronson Reeves, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448 | |
Dr. Jake Lee Evans, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Shawn Patel, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211 | |
Metri Haddaden, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184 | |
Divya Sharma Divyadarshini, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963 | |
Dr. Philip Barton Miner, Jr., M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296 |