| Dr Robert C Welliver, MD | |
|
1200 Childrens Ave, Oucpb 5100, Oklahoma City, OK 73104-4637 | |
| (405) 271-2006 | |
| (405) 271-2263 |
| Full Name | Dr Robert C Welliver |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 1200 Childrens Ave, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184723132 | NPI | - | NPPES |
| 000507730005 | Other | BC OF KANSAS | |
| 00735837 | Medicaid | NY | |
| 040426000753 | Other | NY | FIDELIS |
| 00010187604 | Other | NY | UNIVERA |
| 000507730005 | Other | NY | BC/BS |
| 000507730001 | Other | NY | BC/BS |
| 000507730004 | Other | NY | BC/BS |
| 3905807 | Other | NY | IHA |
| 000507730004 | Other | BC OF KANSAS | |
| 080222000049 | Other | NY | FIDELIS |
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| 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 Robert C Welliver, MD 1122 Ne 13th St, Ori 236, Oklahoma City, OK 73117-1039 Ph: (405) 271-2006 | Dr Robert C Welliver, MD 1200 Childrens Ave, Oucpb 5100, Oklahoma City, OK 73104-4637 Ph: (405) 271-2006 |
Elizabeth Clare Kutteh, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633 | |
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236 | |
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708 | |
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215 | |
Roa Muqbel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 405-271-4417 |