| Dr Elizabeth Romanik Kinzie, MD | |
|
1084 Nickerson St, Waynoka, OK 73860 | |
| (580) 824-2291 | |
| (580) 824-0429 |
| Full Name | Dr Elizabeth Romanik Kinzie |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 1084 Nickerson St, Waynoka, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760450472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 25482 (Oklahoma) | Secondary |
| 207R00000X | Internal Medicine | 25482 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Share Medical Center | Alva, OK | Hospital |
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Alliancehealth Woodward | Woodward, OK | Hospital |
| Beadles Nursing Home | Alva, OK | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Ambulatory Care Corporation | 2365408465 | 690 |
| Entity Name | Integris Bass Baptist Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124029293 PECOS PAC ID: 0345151981 Enrollment ID: O20031103000717 |
| 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 |
| Entity Name | Oklahoma Hospital Medicine Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871113761 PECOS PAC ID: 9830510023 Enrollment ID: O20200526000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Romanik Kinzie, MD 3001 Quail Springs Pkwy, Oklahoma City, OK 73134-2640 Ph: (405) 945-4587 | Dr Elizabeth Romanik Kinzie, MD 1084 Nickerson St, Waynoka, OK 73860 Ph: (580) 824-2291 |