| Dr Kenneth Ted Darvin, MD | |
|
1102 W Macarthur St, Shawnee, OK 74804-1743 | |
| (405) 878-8110 | |
| (405) 878-8101 |
| Full Name | Dr Kenneth Ted Darvin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1102 W Macarthur St, Shawnee, 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 |
|---|---|---|---|
| 1427021450 | NPI | - | NPPES |
| 100063060A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20274 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro Physicians Llc | 1153794813 | 51 |
| Entity Name | St Anthony Shawnee Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
| Entity Name | Metro Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588374797 PECOS PAC ID: 1153794813 Enrollment ID: O20230227002752 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Ted Darvin, MD 1102 W Macarthur St, Shawnee, OK 74804-1743 Ph: (405) 878-8110 | Dr Kenneth Ted Darvin, MD 1102 W Macarthur St, Shawnee, OK 74804-1743 Ph: (405) 878-8110 |
Dr. David Lewis Hadley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 N Broadway Ave, Shawnee, OK 74804 Phone: 405-273-7879 Fax: 405-273-7885 | |
Dr. Lara Del Mashek, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-273-2270 Fax: 405-878-3468 | |
Dr. Monika Durska-keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Gaynell Schieber Anderson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W Macarthur St, Shawnee, OK 74804 Phone: 405-878-8110 Fax: 405-214-1551 | |
Russell Craig Click, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3204 Medical Park Dr, Shawnee, OK 74804 Phone: 405-878-6800 Fax: 405-878-6831 | |
Mitchell A Wolf, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3214 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3794 | |
Michael William Goddard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 N Broadway Ave Ste 300, Shawnee, OK 74801 Phone: 405-395-0399 Fax: 405-395-0330 |