Larry Shane Elliott, | |
523 E State Rd, Fairview, OK 73737-1453 | |
(580) 227-3721 | |
(580) 227-2882 |
Full Name | Larry Shane Elliott |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 523 E State Rd, Fairview, 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 |
---|---|---|---|
1770933277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6155 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Your Health Llc | 3870922008 | 6 |
Entity Name | Fairview Regional Medical Center Authority |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1033153309 PECOS PAC ID: 4183943186 Enrollment ID: O20150424001440 |
Entity Name | Fairview Regional Medical Center Authority |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1053357210 PECOS PAC ID: 4183943186 Enrollment ID: O20150424001584 |
Entity Name | Fairview Regional Medical Center Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316981657 PECOS PAC ID: 4183943186 Enrollment ID: O20150501000163 |
Entity Name | Your Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396385431 PECOS PAC ID: 3870922008 Enrollment ID: O20200408004584 |
Mailing Address | Practice Location Address |
---|---|
Larry Shane Elliott, 523 E State Rd, Fairview, OK 73737-1453 Ph: (580) 227-3721 | Larry Shane Elliott, 523 E State Rd, Fairview, OK 73737-1453 Ph: (580) 227-3721 |
Andrea Ellen Mceachern, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1425 N Main St Ste 1, Fairview, OK 73737 Phone: 580-227-8647 Fax: 580-603-8602 | |
Donald Klinger, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 519 E State Rd, Fairview, OK 73737 Phone: 580-227-2585 Fax: 580-227-2882 |