| Eric Wyatt, MD | |
|
104 Nw 31st St, Lawton, OK 73505-6100 | |
| (580) 536-2121 | |
| (580) 250-5183 |
| Full Name | Eric Wyatt |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 32 Years |
| Location | 104 Nw 31st St, Lawton, 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 |
|---|---|---|---|
| 1417007139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 19537 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Centers Of Southwest Oklahoma, Llc | 7810065323 | 18 |
| Entity Name | Cancer Centers Of Southwest Oklahoma, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073787792 PECOS PAC ID: 7810065323 Enrollment ID: O20100308000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Wyatt, MD 104 Nw 31st St, Lawton, OK 73505-6100 Ph: (580) 536-2121 | Eric Wyatt, MD 104 Nw 31st St, Lawton, OK 73505-6100 Ph: (580) 536-2121 |
Linnea M. Baker, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 702 Nw Sheridan Rd, Lawton, OK 73505 Phone: 580-576-3376 Fax: 580-576-3375 | |
Vanessa Rae Anderson, APRN-NPC Dermatology Medicare: Not Enrolled in Medicare Practice Location: 702 Nw Sheridan Rd, Lawton, OK 73505 Phone: 580-576-3376 | |
Westley A Carter, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 702 Nw Sheridan Rd, Lawton, OK 73505 Phone: 580-678-2072 | |
Ross Hensley, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4417 W Gore Blvd, Ste 7, Lawton, OK 73505 Phone: 580-248-7500 Fax: 580-355-2356 | |
Joe M Roundtree, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 104 Nw 31st, Lawton, OK 73505 Phone: 580-536-2121 Fax: 580-536-2150 |