| Dr Charles C Weddle Jr, MD | |
|
1800 Renaissance Blvd, Edmond, OK 73013-3023 | |
| (405) 359-2400 | |
| Not Available |
| Full Name | Dr Charles C Weddle Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 47 Years |
| Location | 1800 Renaissance Blvd, 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 |
|---|---|---|---|
| 1467472571 | NPI | - | NPPES |
| 100128650A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 12392 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Medical Center | Edmond, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Scheduling Services, P.c. | 9830084375 | 51 |
| Entity Name | Anesthesia Scheduling Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285601187 PECOS PAC ID: 9830084375 Enrollment ID: O20040216000408 |
| Entity Name | Summit Medical Center Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336554567 PECOS PAC ID: 3375761752 Enrollment ID: O20140826002664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles C Weddle Jr, MD 608 Nw 9th St Ste 6210, Oklahoma City, OK 73102-1069 Ph: (405) 272-9641 | Dr Charles C Weddle Jr, MD 1800 Renaissance Blvd, Edmond, OK 73013-3023 Ph: (405) 359-2400 |
Dr. Dipakkumar Shantilal Patel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11312 Old River Trl, Edmond, OK 73013 Phone: 405-796-7234 | |
Dr. Lloyd Robert Chance, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Renaissance Blvd, Edmond, OK 73013 Phone: 405-359-2400 | |
Jeffrey Newton Pearce, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 110 N Midwest Blvd, Edmond, OK 73034 Phone: 405-209-8293 | |
Dr. Michael Alan Dehuff, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 S Bryant Ave, Edmond, OK 73034 Phone: 918-664-9892 Fax: 918-392-2945 | |
Eric J Neller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Renaissance Blvd, Edmond, OK 73013 Phone: 405-359-2400 | |
Dr. Thomas Covington Pratt, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 S Bryant Ave, Edmond, OK 73034 Phone: 918-664-9892 Fax: 918-664-2521 |