Tracy Adelle Kidwell, DO | |
1800 S Douglas Blvd, Midwest City, OK 73130-6224 | |
(405) 741-7722 | |
(405) 741-7757 |
Full Name | Tracy Adelle Kidwell |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 1800 S Douglas Blvd, Midwest City, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033197496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3809 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Alliancehealth Midwest | Midwest city, OK | Hospital |
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saints Medical Group, Llc | 7012914898 | 358 |
Entity Name | Saints Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Mailing Address | Practice Location Address |
---|---|
Tracy Adelle Kidwell, DO 1800 S Douglas Blvd, Midwest City, OK 73130-6224 Ph: () - | Tracy Adelle Kidwell, DO 1800 S Douglas Blvd, Midwest City, OK 73130-6224 Ph: (405) 741-7722 |
Dr. Robert Allan Dickey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2801 Parklawn Dr, Suite 101, Midwest City, OK 73110 Phone: 405-737-6691 Fax: 405-737-7723 | |
Ryan M Biggers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-736-6811 Fax: 405-736-6863 | |
Dr. Wesley Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1636 Midtown Pl, Midwest City, OK 73130 Phone: 405-869-7700 | |
Dr. Joshua Scott Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8800 Se 15th St, Midwest City, OK 73110 Phone: 405-739-6840 | |
Nathan Valentine, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7521 Se 15th St, Midwest City, OK 73110 Phone: 405-453-8004 Fax: 405-561-4857 | |
Dr. Michael Terry Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8800 Se 15, Midwest City, OK 73110 Phone: 405-739-6840 Fax: 405-455-3087 |