Susan T Redwine, MD | |
200 N Bryant Ave, Edmond, OK 73034-6273 | |
(405) 330-7000 | |
Not Available |
Full Name | Susan T Redwine |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 200 N Bryant Ave, 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 |
---|---|---|---|
1144295775 | NPI | - | NPPES |
200066430A | Medicaid | OK | |
22619 | Other | OK | LICENSE |
30634 | Other | OK | OBNDD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 22619 (Oklahoma) | Primary |
Entity Name | Ou Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
---|---|
Susan T Redwine, MD 200 N Bryant Ave, Edmond, OK 73034-6273 Ph: (406) 330-7000 | Susan T Redwine, MD 200 N Bryant Ave, Edmond, OK 73034-6273 Ph: (405) 330-7000 |
Jessica Maria Yocum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2820 N Kelly Ave Ste 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101 | |
Brooke A Nida, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 S Renaissance Blvd, Edmond, OK 73013 Phone: 405-844-4300 Fax: 405-844-4333 | |
Dr. Jeanne M Schaefer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 523 S Santa Fe Ave Ste B, Edmond, OK 73003 Phone: 405-509-6777 Fax: 405-509-6778 | |
Dr. Kimberly Edgmon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2820 N Kelly Ave, Suite 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101 | |
Dr. Sabrina R. Olay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1700 Renaissance Blvd, Edmond, OK 73013 Phone: 405-844-4300 Fax: 408-844-4333 | |
George Kellogg Stephens Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2017 W I 35 Frontage Rd, Edmond, OK 73013 Phone: 405-757-3365 Fax: 405-757-3498 |