Tyler Joshua Mitchum, DO | |
1205 Health Center Pkwy Ste 100, Yukon, OK 73099-6396 | |
(405) 717-5400 | |
(405) 717-5467 |
Full Name | Tyler Joshua Mitchum |
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Gender | Male |
Speciality | Family Medicine |
Location | 1205 Health Center Pkwy Ste 100, Yukon, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992375752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 7765 (Oklahoma) | Primary |
Entity Name | Absentee Shawnee Tribal Health Authority, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
Mailing Address | Practice Location Address |
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Tyler Joshua Mitchum, DO 3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134-2640 Ph: (405) 717-5400 | Tyler Joshua Mitchum, DO 1205 Health Center Pkwy Ste 100, Yukon, OK 73099-6396 Ph: (405) 717-5400 |
Kyle W Rickner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11 Palm Ave, Yukon, OK 73099 Phone: 405-350-5140 | |
Billy H. Sipes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 S Mustang Rd, Yukon, OK 73099 Phone: 405-936-5910 Fax: 405-577-2605 | |
James M Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1491 Health Center Parkway, Yukon, OK 73099 Phone: 405-806-2200 Fax: 405-806-2207 | |
Dr. Lydia J Dennis, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 S Mustang Rd, Yukon, OK 73099 Phone: 405-936-5910 Fax: 405-577-2605 | |
Dr. Brian Emil Thatcher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Health Center Pkwy Ste 100, Yukon, OK 73099 Phone: 405-717-5400 Fax: 405-717-5467 | |
Dr. Shea Pelham Pielsticker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-6851 | |
William L Welden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 S Mustang Rd, Yukon, OK 73099 Phone: 405-324-4000 Fax: 405-577-2328 |