| Donald R Simmons Md Llc | |
|
1244 Woodland Loop Bartlesville OK 74006-5224 | |
| (918) 335-3222 | |
| Not Available |
| Full Name | Donald R Simmons Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1244 Woodland Loop, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Donald Rae Simmons (SOLE MEMBER/PHYSICIAN) |
| Authorized Official Contact | 9409023411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald R Simmons Md Llc 1175 S Aspen Ave Ste K Broken Arrow OK 74012-4800 Ph: (833) 524-2400 | Donald R Simmons Md Llc 1244 Woodland Loop Bartlesville OK 74006-5224 Ph: (918) 335-3222 |
| NPI Number | 1811753395 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Medicare PECOS PAC ID | 6406293240 |
|---|---|
| Medicare Enrollment ID | O20240328001332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811753395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald Rae Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578556601 PECOS PAC ID: 4082526991 Enrollment ID: I20150630000888 |
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