| Dr Miriam Elaine Thompson-mathew, MD | |
|
201 S Sara Rd Ste 200, Mustang, OK 73064-4308 | |
| (405) 578-3250 | |
| (405) 578-3299 |
| Full Name | Dr Miriam Elaine Thompson-mathew |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 201 S Sara Rd Ste 200, Mustang, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275675662 | NPI | - | NPPES |
| 200194190A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24609 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Home Health - Oklahoma | Oklahoma city, OK | Home health agency |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Ssm Health Care Of Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Entity Name | Your Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396385431 PECOS PAC ID: 3870922008 Enrollment ID: O20200408004584 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miriam Elaine Thompson-mathew, MD 201 S Sara Rd Ste 200, Mustang, OK 73064-4308 Ph: (405) 578-3250 | Dr Miriam Elaine Thompson-mathew, MD 201 S Sara Rd Ste 200, Mustang, OK 73064-4308 Ph: (405) 578-3250 |
Ilona Dobrowolska Samara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd, Suite 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Dr. Richard A Lowrance Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Rebecca G. Biorato, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 E State Highway 152, Mustang, OK 73064 Phone: 405-256-5011 Fax: 405-256-5074 | |
Leslie Williams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299 | |
Dr. Peter Paul Bullock Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 S Castlerock Ln, Mustang, OK 73064 Phone: 405-256-0374 | |
Gerald A Amundsen Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 N Mustang Mall Ter, Mustang, OK 73064 Phone: 405-256-6000 Fax: 405-256-6001 |