| Bethany Clutts, DO | |
|
1011 14th Ave Nw, Ardmore, OK 73401-1828 | |
| (580) 223-5400 | |
| Not Available |
| Full Name | Bethany Clutts |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003313982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 8163 (Oklahoma) | Primary |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Clutts, DO 3001 Quail Rd, Ardmore, OK 73401-8611 Ph: (618) 559-3244 | Bethany Clutts, DO 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (580) 223-5400 |
Ann Marie Cosgrove, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2007 North Commerce, Suite 200, Ardmore, OK 73401 Phone: 580-223-7576 | |
Wilfred S Gauthier, MD, FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 | |
Frederick A Dorroh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 12th Ave Nw, Suite 100, Ardmore, OK 73401 Phone: 580-223-3216 Fax: 580-223-4184 | |
Dr. Douglas Britton Morris, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite E, Ardmore, OK 73401 Phone: 580-223-3216 Fax: 580-223-4184 | |
Loyd Elliott Thayer, MD Surgery Medicare: Medicare Enrolled Practice Location: 2007 North Commerce Suite 200 Ardmore Oklahoma, Ardmore, OK 73401 Phone: 580-223-7576 | |
Valerie Nicole Jolly, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 12th Ave Nw, Suite 100, Ardmore, OK 73401 Phone: 580-223-3216 Fax: 580-223-4184 |