| Dr Thomas A Roisum, MD | |
|
305 S 5th St, Enid, OK 73701-5832 | |
| (913) 396-8509 | |
| (913) 318-8378 |
| Full Name | Dr Thomas A Roisum |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 31 Years |
| Location | 305 S 5th St, Enid, 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 |
|---|---|---|---|
| 1528171964 | NPI | - | NPPES |
| 1C220032011 | Other | MO | RAILROAD MEDICARE |
| 201085050A | Medicaid | OK |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Regional Medical Center | Enid, OK | Hospital |
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Avera St Lukes | Aberdeen, SD | Hospital |
| Marshall County Healthcare Center - Cah | Britton, SD | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mawd Pathologists Llc | 5193102028 | 28 |
| Avera St Lukes | 6406764927 | 168 |
| Mawd Pathology Group Pa | 2668421389 | 39 |
| Entity Name | Mawd Pathology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033108519 PECOS PAC ID: 2668421389 Enrollment ID: O20180924000194 |
| Entity Name | Mawd Pathologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376209130 PECOS PAC ID: 5193102028 Enrollment ID: O20240916000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas A Roisum, MD 261 Hummingbird Ln, Hannibal, MO 63401-6931 Ph: (573) 231-0130 | Dr Thomas A Roisum, MD 305 S 5th St, Enid, OK 73701-5832 Ph: (913) 396-8509 |
Dr. Mary Caroline Fieber, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2609 N. Van Buren, Enid, OK 73703 Phone: 580-237-0171 Fax: 580-237-0412 | |
Dr. Cuong Manh Nguyen, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-7098 | |
Rohini Chennuri, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1204 W. Willow Road Ste C, Enid, OK 73703 Phone: 866-600-2273 |