Dr Jerry C Childs Jr, DO | |
1520 Morning Star, Edmond, OK 73034-6579 | |
(405) 659-8840 | |
Not Available |
Full Name | Dr Jerry C Childs Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 1520 Morning Star, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639137409 | NPI | - | NPPES |
100089890A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 2157 (Oklahoma) | Primary |
Entity Name | Creek Nation Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Mailing Address | Practice Location Address |
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Dr Jerry C Childs Jr, DO 1520 Morning Star, Edmond, OK 73034-6579 Ph: () - | Dr Jerry C Childs Jr, DO 1520 Morning Star, Edmond, OK 73034-6579 Ph: (405) 659-8840 |
Mr. Richard T Swenson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1705 Renaissance Blvd, Ste 100, Edmond, OK 73013 Phone: 405-285-7500 Fax: 405-285-7501 | |
Ashley Rae Lindsey, APRN-CNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Nw 192nd St Unit A, Edmond, OK 73012 Phone: 405-531-1579 | |
Billy Joe Buffington, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1714 S Kelly Ave, Edmond, OK 73013 Phone: 405-216-3993 Fax: 405-216-3992 | |
Meryl Elaine Aaron, APRN Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1008 S Bryant Ave Ste 275, Edmond, OK 73034 Phone: 405-889-8287 Fax: 833-605-4189 | |
Blake Weaver, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423 | |
Dr. Tay Sha Lynn Howell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 E 9th St Ste 4, Edmond, OK 73034 Phone: 405-251-6782 Fax: 405-653-1623 | |
Medhat S.f. Michael, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1265 E 33rd St, Edmond, OK 73013 Phone: 405-216-5565 |