| Kelly J Walworth, PAC | |
|
13174 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | |
| (405) 721-5555 | |
| (405) 470-7093 |
| Full Name | Kelly J Walworth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 13174 N Macarthur Blvd, Oklahoma 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 |
|---|---|---|---|
| 1376526756 | NPI | - | NPPES |
| 1710198569 | Other | OK | GROUP NPI |
| 200265130A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1460 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark A Dawkins, Md, Pc | 6800823667 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Walworth, PAC Dept 96-0317, Oklahoma City, OK 73196-0317 Ph: (405) 521-1969 | Kelly J Walworth, PAC 13174 N Macarthur Blvd, Oklahoma City, OK 73142-3017 Ph: (405) 721-5555 |
Mr. Kevin J Maxwell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103 Phone: 405-600-6730 Fax: 405-600-6750 | |
Nicole Lee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 | |
Angie Rachel Thomas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-514-5640 | |
Stephanie Ann Stephens, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134 Phone: 405-749-2765 Fax: 405-749-6209 | |
Brynn Perkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 Nw 9th St Ste 235, Oklahoma City, OK 73102 Phone: 405-772-4338 Fax: 405-772-7339 | |
Matthew Cade Bross, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120 Phone: 405-608-3800 | |
Morgan Pringnitz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1226 N Shartel Ave Ste 300, Oklahoma City, OK 73103 Phone: 405-232-8003 Fax: 405-232-8008 |