Dr Amanda Ruth Gorden Green, DO | |
395200 W 2900 Rd, Ochelata, OK 74051-2463 | |
(918) 535-6000 | |
(918) 535-2694 |
Full Name | Dr Amanda Ruth Gorden Green |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 395200 W 2900 Rd, Ochelata, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740514306 | NPI | - | NPPES |
200348650 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4906 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring Xxv | Mcalester, OK | Home health agency |
Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
Claremore Indian Hospital | Claremore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cherokee Nation | 5799698742 | 329 |
Entity Name | Cherokee Nation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Ruth Gorden Green, DO 395200 W 2900 Rd, Ochelata, OK 74051-2463 Ph: (918) 535-6000 | Dr Amanda Ruth Gorden Green, DO 395200 W 2900 Rd, Ochelata, OK 74051-2463 Ph: (918) 535-6000 |
Gregory S. Brooks, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 | |
Dr. Amanda Bighorse, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 395200 W 2900 Rd, Ochelata, OK 74051 Phone: 918-535-6000 |