| Dr Eduardo A De Sousa, MD | |
|
1060 Sw 4th St, Moore, OK 73160-2494 | |
| (405) 302-2661 | |
| (405) 302-2670 |
| Full Name | Dr Eduardo A De Sousa |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 28 Years |
| Location | 1060 Sw 4th St, Moore, 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 |
|---|---|---|---|
| 1992819700 | NPI | - | NPPES |
| 101714226 | Medicaid | PA | |
| 0111627 | Medicaid | NJ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eduardo A De Sousa, MD 1060 Sw 4th St, Moore, OK 73160-2494 Ph: (405) 302-2661 | Dr Eduardo A De Sousa, MD 1060 Sw 4th St, Moore, OK 73160-2494 Ph: (405) 302-2661 |
Darius Noori, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 204 S Riverside Dr, Moore, OK 73160 Phone: 405-759-2138 Fax: 405-759-2138 | |
William Earl Tankersley Iv, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 604 S Classen Ave, Suite C, Moore, OK 73160 Phone: 405-799-0900 Fax: 405-799-0902 | |
Clayton D Morris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 604 S Classen Ave Ste C, Moore, OK 73160 Phone: 405-799-0900 Fax: 405-799-0902 | |
Bailey Brook Vasquez, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1105 Sw 30th Ct, Moore, OK 73160 Phone: 405-676-5114 | |
Danielle M Sandbothe, DO Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1105 Sw 30th Ct, Moore, OK 73160 Phone: 405-378-2727 | |
Rachel Dalthorp, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1105 Sw 30th Ct, Moore, OK 73160 Phone: 405-378-2727 Fax: 405-378-2776 |