| Dr Kenny M Grider, DO | |
|
1805 W University Blvd, Durant, OK 74701-3011 | |
| (580) 920-0300 | |
| (580) 920-0581 |
| Full Name | Dr Kenny M Grider |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 1805 W University Blvd, Durant, 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 |
|---|---|---|---|
| 1245216191 | NPI | - | NPPES |
| 100136800A | Medicaid | OK | |
| 200022524 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | DO3262 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Durant | Durant, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Durant Hma Physician Management Llc | 3375638976 | 21 |
| Entity Name | Durant Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043361116 PECOS PAC ID: 3375638976 Enrollment ID: O20070927000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenny M Grider, DO 1805 W University Blvd, Durant, OK 74701-3011 Ph: (580) 920-0300 | Dr Kenny M Grider, DO 1805 W University Blvd, Durant, OK 74701-3011 Ph: (580) 920-0300 |
Jeffrey C Neilson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 Bryan Dr, Suite 304, Durant, OK 74701 Phone: 580-931-2278 Fax: 580-931-2274 | |
Dr. Srikanth Mudiganty, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1400 Bryan Dr Ste 300, Durant, OK 74701 Phone: 580-913-2278 Fax: 580-931-2274 | |
Dr. Christopher James Leslie, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Bryan Dr Ste 300, Durant, OK 74701 Phone: 580-931-2278 Fax: 580-931-2274 |