| Dr Donald M Elgin, MD | |
|
104 Lone Oak Circle, Ft. Gibson, OK 74434 | |
| (918) 478-2101 | |
| (918) 478-6008 |
| Full Name | Dr Donald M Elgin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 50 Years |
| Location | 104 Lone Oak Circle, Ft. Gibson, 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 |
|---|---|---|---|
| 1790892529 | NPI | - | NPPES |
| 100123270A | Medicaid | OK | |
| 107709001 | Other | OK | DMERC |
| 80161083 | Other | OK | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 11727 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 11727 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Traditions Home Care, Inc | Mcalester, OK | Home health agency |
| Oklahoma Healthcare Solutions I X | Henryetta, OK | Home health agency |
| Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
| Family Choice Hospice, Llc | Tulsa, OK | Hospice |
| Good Shepherd Hospice | Tulsa, OK | Hospice |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahlequah Medical Group Llc | 4082861349 | 15 |
| Entity Name | Northeastern Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
| Entity Name | Tahlequah Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881960771 PECOS PAC ID: 4082861349 Enrollment ID: O20120822000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald M Elgin, MD Po Box 1008, Tahlequah, OK 74465-1008 Ph: (918) 478-2101 | Dr Donald M Elgin, MD 104 Lone Oak Circle, Ft. Gibson, OK 74434 Ph: (918) 478-2101 |