Ronald Pence, MD | |
1921 Stonecipher Blvd, Ada, OK 74820 | |
(580) 436-3980 | |
(580) 421-4586 |
Full Name | Ronald Pence |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427276609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | H2677 (Texas) | Primary |
Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
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Ronald Pence, MD 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 436-3980 | Ronald Pence, MD 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 436-3980 |
Everett E Bayne, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 800 Rolling Hills Ln, Ada, OK 74820 Phone: 580-310-0312 Fax: 580-310-0326 | |
Christie Snow, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4591 Fax: 580-421-4586 | |
Mr. Robert Oliver Morton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Rolling Hills Ln, Ada, OK 74820 Phone: 580-759-0022 Fax: 580-759-2177 | |
Dr. Marilynn Holman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 |