| Dr Prasanna Dayan Fernando, | |
|
1411 W 7th Ave, Stillwater, OK 74074-4300 | |
| (405) 624-8222 | |
| Not Available |
| Full Name | Dr Prasanna Dayan Fernando |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 16 Years |
| Location | 1411 W 7th Ave, Stillwater, 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 |
|---|---|---|---|
| 1396132999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 31231 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stillwater Medical Center Authority | 2365353794 | 143 |
| Entity Name | Stillwater Medical Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
| Entity Name | Obhg Oklahoma, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043595374 PECOS PAC ID: 4183881121 Enrollment ID: O20120203000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prasanna Dayan Fernando, Po Box 720006, Norman, OK 73070-4006 Ph: (405) 624-8222 | Dr Prasanna Dayan Fernando, 1411 W 7th Ave, Stillwater, OK 74074-4300 Ph: (405) 624-8222 |
Larissa Cheryl Smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1411 W 7th Ave, Stillwater, OK 74074 Phone: 405-742-8222 | |
Dr. Yasuto Taguchi, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 801 S Walnut, Stillwater, OK 74074 Phone: 405-372-6246 Fax: 405-743-3003 | |
Dr. Thomas Alan Karns, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1411 W 7th Ave, Suite 202, Stillwater, OK 74074 Phone: 405-624-8222 Fax: 405-743-1574 |