Eastern Oklahoma Medical Consultants, Pllc | |
700 North Main Gore OK 74435-0479 | |
(918) 489-5757 | |
(918) 489-5411 |
Full Name | Eastern Oklahoma Medical Consultants, Pllc |
---|---|
Speciality | Family Medicine |
Location | 700 North Main, Gore, Oklahoma |
Authorized Official Name and Position | Shelly F Keathley (OFFICE MANAGER) |
Authorized Official Contact | 9184895757 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eastern Oklahoma Medical Consultants, Pllc Po Box 1100 Gore OK 74435-0479 Ph: (918) 489-5757 | Eastern Oklahoma Medical Consultants, Pllc 700 North Main Gore OK 74435-0479 Ph: (918) 489-5757 |
NPI Number | 1114276425 |
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Provider Enumeration Date | 08/31/2012 |
Last Update Date | 09/08/2016 |
Medicare PECOS PAC ID | 9739337510 |
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Medicare Enrollment ID | O20120920000163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114276425 | NPI | - | NPPES |
200454880A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | William R Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235130709 PECOS PAC ID: 0648166520 Enrollment ID: I20040226000668 |
Provider Name | Brandon L King |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609173038 PECOS PAC ID: 5597999094 Enrollment ID: I20131017000274 |
Provider Name | Arthur W Pearson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811331754 PECOS PAC ID: 5193945582 Enrollment ID: I20151029002741 |
Provider Name | Brandy Dyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205443959 PECOS PAC ID: 9436578622 Enrollment ID: I20201008000592 |
Provider Name | Lester M Keathley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003188962 PECOS PAC ID: 2668882390 Enrollment ID: I20201106002291 |
Gore Eye Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Main, Gore, OK 74435 Phone: 918-489-2512 | |
Superior Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
Haskell Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
Eastern Oklahoma Medical Consultants, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Main St, Gore, OK 74435 Phone: 918-489-5757 Fax: 918-489-5411 | |
Ltc Solutions, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 North Main, Gore, OK 74435 Phone: 918-520-0859 Fax: 918-489-5260 |