Michael Anthony Reburn, MD | |
3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | |
(918) 333-7200 | |
Not Available |
Full Name | Michael Anthony Reburn |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 3500 E Frank Phillips Blvd, Bartlesville, 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 |
---|---|---|---|
1912941485 | NPI | - | NPPES |
100175670A | Medicaid | OK | |
100177170A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 19365 (Oklahoma) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 04-25829 (Kansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Marian Regional Medical Center | Santa maria, CA | Hospital |
French Hospital Medical Center | San luis obispo, CA | Hospital |
Sierra Vista Regional Medical Center | San luis obispo, CA | Hospital |
Twin Cities Community Hospital | Templeton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Managed Imaging Medical Group Inc | 9436229887 | 87 |
California Managed Imaging Medical Group Inc | 9436229887 | 87 |
Entity Name | Tulsa Radiology Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871574509 PECOS PAC ID: 1658260492 Enrollment ID: O20040505000680 |
Entity Name | Radiological Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659311470 PECOS PAC ID: 9739130139 Enrollment ID: O20050311000120 |
Entity Name | California Managed Imaging Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20230610000039 |
Mailing Address | Practice Location Address |
---|---|
Michael Anthony Reburn, MD 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146-5229 Ph: (770) 514-2773 | Michael Anthony Reburn, MD 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 Ph: (918) 333-7200 |
Dr. Maurice D Krause Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3500 Frank Phillips Blvd, Bartlesville, OK 74005 Phone: 918-331-1857 Fax: 918-331-1698 | |
Jim Bolene, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-333-7200 | |
John Anthony Yeabower Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-333-7200 | |
Jen Wong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-333-7200 |