| Bob R Abernathy, DO | |
|
1200 N Glenn English, Cordell, OK 73632-2010 | |
| (580) 832-3838 | |
| (580) 832-5119 |
| Full Name | Bob R Abernathy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 1200 N Glenn English, Cordell, 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 |
|---|---|---|---|
| 1114920071 | NPI | - | NPPES |
| 100101100A | Medicaid | OK | |
| 100101100C | Other | OK | SOONERCARE CHOICE |
| 125307900 | Other | OK | DOL |
| 08013806 | Other | RAILROAD MC | |
| 321802700 | Other | OK | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2075 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shepherd Home Health And Hospice, Llc | Clinton, OK | Home health agency |
| Carter Healthcare Of Central Oklahoma, Llc | Oklahoma city, OK | Home health agency |
| Angels Care Home Health Of Oklahoma | Oklahoma city, OK | Home health agency |
| Humanity Hospice, Llc | Oklahoma city, OK | Hospice |
| Cordell Memorial Hospital | Cordell, OK | Hospital |
| Weatherford Regional Hospital, Inc Of Weatherford | Weatherford, OK | Hospital |
| Great Plains Regional Medical Center | Elk city, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Cordell Christian Home | Cordell, OK | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cordell Memorial Hospital 0189 | 1254239197 | 6 |
| Entity Name | Cordell Memorial Hospital 0189 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750384426 PECOS PAC ID: 1254239197 Enrollment ID: O20061104000238 |
| Entity Name | Southern Plains Medical Center Of Garvin County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083280622 PECOS PAC ID: 5496155582 Enrollment ID: O20210617000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Bob R Abernathy, DO 1220 N Glenn L English St, Cordell, OK 73632-2010 Ph: (580) 832-3339 | Bob R Abernathy, DO 1200 N Glenn English, Cordell, OK 73632-2010 Ph: (580) 832-3838 |
Nadia Carolina Azuero, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1109 N Glenn L English St, Cordell, OK 73632 Phone: 580-832-2222 Fax: 580-547-5035 |