Neal Ross Brockbank, DO | |
212 N Main St, Fairfax, OK 74637-3023 | |
(918) 642-3100 | |
(918) 642-5415 |
Full Name | Neal Ross Brockbank |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 212 N Main St, Fairfax, 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 |
---|---|---|---|
1619941754 | NPI | - | NPPES |
100451050C | Medicaid | KS | |
05-30121 | Other | KS | LICENSE # |
200606010A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5853 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
Alliance Oklahoma Home Health North Central | Ponca city, OK | Home health agency |
Ponca City Medical Center | Ponca city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairfax Medical Facilities Inc | 4284663360 | 16 |
Entity Name | Fairfax Medical Facilities Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538183173 PECOS PAC ID: 4284663360 Enrollment ID: O20060209000250 |
Mailing Address | Practice Location Address |
---|---|
Neal Ross Brockbank, DO 212 N Main St, Fairfax, OK 74637-3023 Ph: (918) 642-3100 | Neal Ross Brockbank, DO 212 N Main St, Fairfax, OK 74637-3023 Ph: (918) 642-3100 |
Dr. James I Graham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 N Main St, Fairfax, OK 74637 Phone: 918-642-3100 Fax: 918-642-5415 | |
Mrs. Starla M Allen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Hospital Rd, Fairfax, OK 74637 Phone: 918-642-3291 |