| Dr Michael Shane Hull, DO | |
|
105 So. Bryant Ave, Suite 104, Edmond, OK 73034-6330 | |
| (405) 715-2022 | |
| (405) 715-2905 |
| Full Name | Dr Michael Shane Hull |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 22 Years |
| Location | 105 So. Bryant Ave, Edmond, 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 |
|---|---|---|---|
| 1396891743 | NPI | - | NPPES |
| 200070260A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4302 (Oklahoma) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 4302 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| O U Medical Center | Oklahoma city, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Integris Health Edmond | Edmond, OK | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ou Health Partners Inc | 5991105876 | 949 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Shane Hull, DO 4900 S. Monaco St, #210, Denver, CO 80237-3486 Ph: (405) 715-2022 | Dr Michael Shane Hull, DO 105 So. Bryant Ave, Suite 104, Edmond, OK 73034-6330 Ph: (405) 715-2022 |
Viorica Khalili, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 105 S Bryant Ave, Suite 202, Edmond, OK 73034 Phone: 405-340-4565 Fax: 405-340-4583 | |
Dr. Royce Lee Bargas, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3839 S Boulevard Ste 100, Edmond, OK 73013 Phone: 405-607-4445 | |
Dr. Brian Levy, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 124 N Bryant Ave, C4, Edmond, OK 73034 Phone: 405-330-7606 Fax: 405-330-7607 | |
Rakesh Shrivastava, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 101, Edmond, OK 73034 Phone: 405-861-0004 Fax: 855-680-8890 | |
Dr. Craig W Carson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 Phone: 405-844-4978 Fax: 405-844-0562 | |
Laurie Anne Orme, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 E Waterloo Rd, Edmond, OK 73034 Phone: 405-715-2000 Fax: 405-715-2010 | |
Jeremy Brandon Moad, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-2022 Fax: 405-715-2905 |