| Dr Dwayne Lee Janzen, D O | |
|
915 E Garriott Rd Ste A, Enid, OK 73701-6153 | |
| (580) 977-1910 | |
| (580) 237-1925 |
| Full Name | Dr Dwayne Lee Janzen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 915 E Garriott Rd Ste A, Enid, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659394765 | NPI | - | NPPES |
| 100252020C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34426 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 1639 (Oklahoma) | Primary |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dwayne Lee Janzen, D O 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (580) 977-1910 | Dr Dwayne Lee Janzen, D O 915 E Garriott Rd Ste A, Enid, OK 73701-6153 Ph: (580) 977-1910 |
Dr. Michael B Scott, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 E Garriott Rd, Ste B, Enid, OK 73701 Phone: 580-233-5544 Fax: 580-233-7895 | |
Dr. David Matousek, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 S 5th St Ste 302, Enid, OK 73701 Phone: 580-234-3320 | |
David Barnard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-6239 | |
Aaron Scott Sizelove, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 E Garriott Rd, Suite B, Enid, OK 73701 Phone: 580-213-9745 Fax: 580-234-5749 | |
Dr. Garrett Shelton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3517 W Owen K Garriott Rd, Suite Four, Enid, OK 73703 Phone: 580-233-5553 | |
Dr. Chang Liu Lipinski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-5153 Fax: 580-213-7959 | |
Monica Ashley Wilder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Van Buren St, Enid, OK 73703 Phone: 580-297-9993 |