Mr Keland Jerome Mask, PT is a
Physical Medicine & Rehabilitation physician based in Midwest City, Oklahoma. Mr Keland Jerome Mask is licensed to practice in Oklahoma (license number 1821) and his current practice location is 6904 E. Reno Avenue, Midwest City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 737-5555.
NPI number for Mr Keland Jerome Mask is 1285688861 and his current mailing address is 6904 E. Reno Avenue, Medwest City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285688861.
Physician's Profile
| Full Name | Mr Keland Jerome Mask |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 6904 E. Reno Avenue, Midwest City, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285688861
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/09/2012
Medical Identifiers
Medical identifiers for Mr Keland Jerome Mask such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285688861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1821 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keland Jerome Mask is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Keland Jerome Mask, PT
6904 E. Reno Avenue,
Medwest City, OK 73110-2152
Ph: (405) 737-5555 | Mr Keland Jerome Mask, PT
6904 E. Reno Avenue,
Midwest City, OK 73110-2152
Ph: (405) 737-5555 |
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