| Dr Charles T Dodson, DO | |
|
1302 Nw Lake Ave, Lawton, OK 73507-6577 | |
| (580) 357-2304 | |
| (214) 712-2487 |
| Full Name | Dr Charles T Dodson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 1302 Nw Lake Ave, Lawton, 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 |
|---|---|---|---|
| 1689681454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4243 (Oklahoma) | Primary |
| 207P00000X | Emergency Medicine | 2010025332 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 95 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | App Of Illinois Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles T Dodson, DO 1717 Main St, Suite 5200, Dallas, TX 75201-4612 Ph: (214) 712-2019 | Dr Charles T Dodson, DO 1302 Nw Lake Ave, Lawton, OK 73507-6577 Ph: (580) 357-2304 |
Daniel Dorton, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3401 W Gore Blvd # W, Lawton, OK 73505 Phone: 580-699-4322 | |
Dr. Kirk M. Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4909 Se Mills Ave, Lawton, OK 73501 Phone: 580-890-0545 | |
Dr. Justin M Magalassi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 918-519-2011 | |
Dr. Manuel Delarosa, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Nw 67th St, Suite E, Lawton, OK 73505 Phone: 580-536-9400 | |
Dr. Grant Kevin Dewitt, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-884-0331 | |
Ryan Dale Ford, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4510 Sw Wendy Dr, Lawton, OK 73505 Phone: 580-355-8620 | |
Dr. Andrew Burnette, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-585-5545 |