Jeremy M Mason, DPM | |
10229 E 96th St N Suite 101, Owasso, OK 74055 | |
(918) 272-8920 | |
(918) 272-8922 |
Full Name | Jeremy M Mason |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 19 Years |
Location | 10229 E 96th St N Suite 101, Owasso, 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 |
---|---|---|---|
1710154471 | NPI | - | NPPES |
00256 | Other | OK | OKLAHOMA LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00256 (Oklahoma) | Secondary |
213E00000X | Podiatrist | 256 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St John Owasso | Owasso, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro Tulsa Foot And Ankle Specialist Pllc | 1759293046 | 10 |
Provider Name | Metro Tulsa Foot & Ankle Specialist Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477588945 PECOS PAC ID: 1759293046 Enrollment ID: O20031104000660 |
Provider Name | Oklahoma Mobile Podiatry Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699339804 PECOS PAC ID: 4385086206 Enrollment ID: O20240523002428 |
Mailing Address | Practice Location Address |
---|---|
Jeremy M Mason, DPM 701 W. Elgin St, Broken Arrow, OK 74012 Ph: (918) 455-2001 | Jeremy M Mason, DPM 10229 E 96th St N Suite 101, Owasso, OK 74055 Ph: (918) 272-8920 |
Timothy J Siegfried, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10229 E 96th St N Suite 100, Owasso, OK 74055 Phone: 918-272-8920 Fax: 918-272-8922 | |
Metro Tulsa Foot & Ankle Specialists Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 10229 E 96th St N, Suite 100, Owasso, OK 74055 Phone: 918-272-8920 Fax: 918-272-8922 |