| Dr Omid Jazaeri, MD | |
|
825 Ne 10th St, Oklahoma City, OK 73104-5417 | |
| (572) 244-0074 | |
| (572) 244-9882 |
| Full Name | Dr Omid Jazaeri |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 23 Years |
| Location | 825 Ne 10th St, Oklahoma City, 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 |
|---|---|---|---|
| 1437322898 | NPI | - | NPPES |
| 16689348 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 48825 (Colorado) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 47771 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Littleton | Littleton, CO | Hospital |
| Adventhealth Porter | Denver, CO | Hospital |
| Trinity Health Grand Rapids Hospital | Grand rapids, MI | Hospital |
| Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
| Adventhealth Parker | Parker, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 499 |
| Warren Clinic Inc | 8820900293 | 787 |
| Portercare Adventist Health System | 0941110886 | 770 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omid Jazaeri, MD 7780 S Broadway Ste 260, Littleton, CO 80122-2633 Ph: (720) 330-1300 | Dr Omid Jazaeri, MD 825 Ne 10th St, Oklahoma City, OK 73104-5417 Ph: (572) 244-0074 |
Dr. Beverly Jean Talbert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St, Oupb5350, Oklahoma City, OK 73104 Phone: 405-271-4864 Fax: 405-271-1643 |
Michael Taylor Heath, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6308 |
Dr. Teresa Marie Shavney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Nw Expressway, Suite 420, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936 |
Dr. Mary Kathleen Lindemuth, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 10900 Hefner Pointe Dr, Oklahoma City, OK 73120 Phone: 405-552-0400 Fax: 405-752-4251 |
Stephen Thomas Mahoney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 800, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936 |
Richard Isaac Sherwood, Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104 Phone: 405-271-6308 |
Garrett Neal Klutts, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-981-2092 |