| Dr Justin Burnett, MD | |
|
2403 W Wrangler Blvd Ste A, Seminole, OK 74868-1900 | |
| (580) 436-5111 | |
| (580) 436-1159 |
| Full Name | Dr Justin Burnett |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2403 W Wrangler Blvd Ste A, Seminole, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144845496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36055 (Oklahoma) | Primary |
| Entity Name | Central Oklahoma Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831291293 PECOS PAC ID: 9931189685 Enrollment ID: O20040722001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Burnett, MD 900 Ne 10th St # 2102, Oklahoma City, OK 73104-5420 Ph: (405) 271-2230 | Dr Justin Burnett, MD 2403 W Wrangler Blvd Ste A, Seminole, OK 74868-1900 Ph: (580) 436-5111 |
Mr. Randall Leon Kemp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd, Ste A, Seminole, OK 74868 Phone: 405-382-4939 Fax: 405-382-4947 | |
Javaria Asif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Wrangler Blvd, Seminole, OK 74868 Phone: 405-303-4611 Fax: 405-303-4177 | |
Dr. Sergio G Demier, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 Phone: 405-382-4939 Fax: 405-382-4947 | |
Jenna Geohagan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2403 W Wrangler Blvd Ste C, Seminole, OK 74868 Phone: 405-716-3070 Fax: 405-716-3069 |