Mr David M Pagnanelli, MD | |
5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 | |
(580) 531-4600 | |
(580) 531-6405 |
Full Name | Mr David M Pagnanelli |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 5604 Sw Lee Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689669905 | NPI | - | NPPES |
200035200A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 23774 (Oklahoma) | Primary |
Entity Name | Southwestern Surgical Affiliates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013169531 PECOS PAC ID: 0941365308 Enrollment ID: O20090218000457 |
Mailing Address | Practice Location Address |
---|---|
Mr David M Pagnanelli, MD 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 Ph: (580) 531-4600 | Mr David M Pagnanelli, MD 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 Ph: (580) 531-4600 |
Dr. Stephen Kwame Ofori-kwakye, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd, Suite 303, Lawton, OK 73505 Phone: 580-353-6000 Fax: 580-353-0800 | |
Mark O Duncan, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Nw 31st St Fl 2, Lawton, OK 73505 Phone: 580-248-5255 Fax: 580-248-2036 | |
Johnny D Duncan, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 201, Lawton, OK 73505 Phone: 805-250-6659 Fax: 580-250-5249 |