| Dr John P Agent, DO | |
|
1015 E Choctaw Ave, Sallisaw, OK 74955-5011 | |
| (918) 774-0034 | |
| (918) 774-0650 |
| Full Name | Dr John P Agent |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 1015 E Choctaw Ave, Sallisaw, 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 |
|---|---|---|---|
| 1649217191 | NPI | - | NPPES |
| 110222385 | Other | RAILROAD MEDICARE | |
| 145013003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-1152 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | 3341 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Professional Home Health | Sallisaw, OK | Home health agency |
| Elara Caring Xviii | Sallisaw, OK | Home health agency |
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Sequoyah County-city Of Sallisaw Hospital Authorit | Sallisaw, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Fands Physical Therapy, Inc | 7810898459 | 145 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699070649 PECOS PAC ID: 3870668510 Enrollment ID: O20110303000543 |
| Entity Name | Prime Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033454723 PECOS PAC ID: 4183878176 Enrollment ID: O20130128000344 |
| Entity Name | Baptist Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John P Agent, DO Po Box 776075, Chicago, IL 60677-6075 Ph: (918) 774-0034 | Dr John P Agent, DO 1015 E Choctaw Ave, Sallisaw, OK 74955-5011 Ph: (918) 774-0034 |
Lisa D Ortiz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955 Phone: 918-775-9159 Fax: 918-775-6469 | |
Dr. Stephen Trey Bastible, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S J T Stites St, Sallisaw, OK 74955 Phone: 918-774-1400 |