| Dr Owen Buck Gilmore, MD | |
|
100 S Bliss Ave, Tahlequah, OK 74464-2512 | |
| (918) 458-3100 | |
| Not Available |
| Full Name | Dr Owen Buck Gilmore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 100 S Bliss Ave, Tahlequah, 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 |
|---|---|---|---|
| 1194727198 | NPI | - | NPPES |
| 100124330A | Medicaid | OK | |
| 110938001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21767 (Oklahoma) | Primary |
| 207Q00000X | Family Medicine | C-6488 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of The Cherokee | Tahlequah, OK | Hospice |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Owen Buck Gilmore, MD 525 W Downing St, Tahlequah, OK 74464-2713 Ph: (918) 458-3100 | Dr Owen Buck Gilmore, MD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3100 |
Sylvia Soto, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3115 | |
Shawn Scarberry Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-4100 Fax: 539-234-4101 | |
Dr. Sharon C Smallwood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3610 | |
David Ryan Markes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Rebecca C Lewis, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 17611 South Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-4911 Fax: 918-458-6221 | |
Dr. Kendall Harris, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 |