| Chadwick B Ross, DO | |
|
1900 N 14th St, Ponca City, OK 74601-2035 | |
| (580) 765-3321 | |
| (580) 765-0597 |
| Full Name | Chadwick B Ross |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 1900 N 14th St, Ponca City, 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 |
|---|---|---|---|
| 1750356861 | NPI | - | NPPES |
| 200069260A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4329 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Healogics Specialty Physicians Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144625740 PECOS PAC ID: 2264758705 Enrollment ID: O20150227001987 |
| Entity Name | Ponca City Immediate Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740837889 PECOS PAC ID: 3173854437 Enrollment ID: O20191017001462 |
| Entity Name | Bradley Bibb Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194572040 PECOS PAC ID: 4789715285 Enrollment ID: O20240520001147 |
| Mailing Address | Practice Location Address |
|---|---|
| Chadwick B Ross, DO 1321 Sw 116th Ter, Oklahoma City, OK 73170-4461 Ph: (405) 378-2150 | Chadwick B Ross, DO 1900 N 14th St, Ponca City, OK 74601-2035 Ph: (580) 765-3321 |
Loyd Kevin Jones, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 Fax: 580-765-0597 | |
Edward J Scovill, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-3321 Fax: 580-765-0597 |