| Bethesda Medical Group | |
|
10629 S Western Ave Oklahoma City OK 73170-6200 | |
| (405) 692-9977 | |
| (405) 691-6347 |
| Full Name | Bethesda Medical Group |
|---|---|
| Speciality | Pain Medicine |
| Location | 10629 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Donald H Kim (PRESIDENT) |
| Authorized Official Contact | 4056929977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Medical Group Po Box 891977 Oklahoma City OK 73189-1977 Ph: (405) 692-9977 | Bethesda Medical Group 10629 S Western Ave Oklahoma City OK 73170-6200 Ph: (405) 692-9977 |
| NPI Number | 1164469219 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547357519 |
|---|---|
| Medicare Enrollment ID | O20071107000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164469219 | NPI | - | NPPES |
| P00262362 | Other | OK | RAILROAD MEDICARE # |
| 064700062006 | Other | OK | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21721 (Oklahoma) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 21721 (Oklahoma) | Primary |
| Provider Name | Donald H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035916 PECOS PAC ID: 5395701262 Enrollment ID: I20041203000012 |
| Provider Name | Nicole M Oweis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356843007 PECOS PAC ID: 1355685942 Enrollment ID: I20181210000517 |
| Provider Name | Neans L Denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881225290 PECOS PAC ID: 1658709019 Enrollment ID: I20200318000186 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |