| Dr Brian Keith Firestone, MD | |
|
608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | |
| (405) 271-6060 | |
| (405) 271-7873 |
| Full Name | Dr Brian Keith Firestone |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 17 Years |
| Location | 608 Stanton L Young Blvd, Oklahoma 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 |
|---|---|---|---|
| 1073772398 | NPI | - | NPPES |
| 200517730B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD445114 (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | 30196 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| O U Medical Center | Oklahoma city, OK | Hospital |
| Summit Medical Center | Edmond, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Mcgee Eye Institute | 3779495353 | 41 |
| Retina Consultants Of Oklahoma Pllc | 7719160472 | 4 |
| Entity Name | Dean Mcgee Eye Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245209675 PECOS PAC ID: 3779495353 Enrollment ID: O20031103000297 |
| Entity Name | Retina Consultants Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215245014 PECOS PAC ID: 7719160472 Enrollment ID: O20110318000169 |
| Entity Name | Oklahoma Proton Center Llc |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1114408762 PECOS PAC ID: 4183963861 Enrollment ID: O20190225000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Keith Firestone, MD 3037 Nw 63rd St Ste W251, Oklahoma City, OK 73116-3637 Ph: (405) 691-0505 | Dr Brian Keith Firestone, MD 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 Ph: (405) 271-6060 |
Vinay Ashok Shah, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9821 S May Ave Ste C, Oklahoma City, OK 73159 Phone: 405-691-0505 Fax: 405-691-0507 | |
Cynthia A Bradford, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
Jila Noorikolouri, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-3013 | |
David W Parke Ii, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-1092 | |
Gary Waine Wilson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132 Phone: 405-722-2020 Fax: 405-516-6126 | |
David W. Jackson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10601 N May Ave, Oklahoma City, OK 73120 Phone: 405-286-2688 Fax: 405-849-6152 |