| Charles Tate Woodward, DO | |
|
1745 W 33rd St, Edmond, OK 73013-3831 | |
| (405) 826-2256 | |
| (800) 308-0241 |
| Full Name | Charles Tate Woodward |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1745 W 33rd St, Edmond, 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 |
|---|---|---|---|
| 1760606917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18955 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kalispell Regional Medical Center | Kalispell, MT | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalispell Regional Medical Center Inc | 5294644381 | 380 |
| Metro Physicians Llc | 1153794813 | 51 |
| Clinical Pharmacists Llc | 4183088685 | 2 |
| Stillwater Health | 2062859002 | 2 |
| Entity Name | Kalispell Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Tate Woodward, DO 1745 W 33rd St, Edmond, OK 73013-3831 Ph: (405) 826-2256 | Charles Tate Woodward, DO 1745 W 33rd St, Edmond, OK 73013-3831 Ph: (405) 826-2256 |
Dr. Kelsey Keoppel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Mrs. Chelsea Renee Lowery, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2557 Old Timbers Dr., Edmond, OK 73034 Phone: 405-669-2600 Fax: 405-500-1232 | |
Dr. Franklin Cleo Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Dr. Sara Elaine Burnett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-2100 | |
Carla A Werner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811 | |
Dr. Jenny Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2611 Kelley Pointe Pkwy, Edmond, OK 73013 Phone: 405-359-0919 | |
Julia Vang, APRN-CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 S Boulevard Ste 108, Edmond, OK 73013 Phone: 405-348-9904 Fax: 833-470-1448 |