Mr Dennis Dodd, CRNA | |
5602 Sw Lee Blvd, Lawton, OK 73505-9635 | |
(580) 531-4727 | |
Not Available |
Full Name | Mr Dennis Dodd |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 46 Years |
Location | 5602 Sw Lee Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326044603 | NPI | - | NPPES |
100789080A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0040475 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwestern Medical Center | Lawton, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwestern Physician Services Llc | 6305937772 | 7 |
Ias Oklahoma Llc | 9537505532 | 9 |
Entity Name | Southwestern Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083640601 PECOS PAC ID: 6305937772 Enrollment ID: O20070814000680 |
Entity Name | Ias Oklahoma Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174394365 PECOS PAC ID: 9537505532 Enrollment ID: O20240313001261 |
Mailing Address | Practice Location Address |
---|---|
Mr Dennis Dodd, CRNA Po Box 571, Altus, OK 73522-0571 Ph: (580) 481-4815 | Mr Dennis Dodd, CRNA 5602 Sw Lee Blvd, Lawton, OK 73505-9635 Ph: (580) 531-4727 |
Manju Ani Thankachan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984 | |
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067 | |
Dai An Le, NP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773 | |
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277 |