| Dr Derek A Irwin, MD | |
|
225 Ne 97th St, Oklahoma City, OK 73114-6302 | |
| (405) 842-2061 | |
| (405) 842-3146 |
| Full Name | Dr Derek A Irwin |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 31 Years |
| Location | 225 Ne 97th St, 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 |
|---|---|---|---|
| 1184603300 | NPI | - | NPPES |
| 154966001 | Medicaid | AR | |
| 100824700A | Medicaid | OK | |
| 731193626002 | Other | OK | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 19794 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Pathology Services, Inc. | 8224941547 | 9 |
| Entity Name | Diagnostic Pathology Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528030897 PECOS PAC ID: 8224941547 Enrollment ID: O20031111000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek A Irwin, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (214) 932-8029 | Dr Derek A Irwin, MD 225 Ne 97th St, Oklahoma City, OK 73114-6302 Ph: (405) 842-2061 |
Dr. Lynn Leroy Myers, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 9417 Regal Lane, Oklahoma City, OK 73162 Phone: 405-721-1214 | |
Alexis A Harris Snead, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 225 Ne 97th St Ste 600, Oklahoma City, OK 73114 Phone: 405-842-2061 | |
Dr. Shaima Elgenaid, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104 Phone: 405-271-2451 | |
Dr. Hannah Madsen, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 940 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-2451 | |
Damion L Kistler, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-7041 | |
Michael Francis Goldbeck, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 940 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-2451 | |
Mohamed Elsaid Abdelfattah Hassan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 940 Stanton L. Young Blvd, Bmsb 451, Oklahoma City, OK 73104 Phone: 405-271-2422 Fax: 405-271-2568 |