| Glen Dewayne Hyde, MD | |
|
12200 Ashford Dr, Yukon, OK 73099-8762 | |
| (405) 283-9000 | |
| (405) 283-9025 |
| Full Name | Glen Dewayne Hyde |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 12200 Ashford Dr, Yukon, 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 |
|---|---|---|---|
| 1912907056 | NPI | - | NPPES |
| 100096910D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20762 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loving Care In Home Health Services, Llc | Noble, OK | Home health agency |
| Integris Home Care Oklahoma City | Oklahoma city, OK | Home health agency |
| Integris Canadian Valley Hospital | Yukon, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Integris Health Edmond | Edmond, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Entity Name | Oklahoma Hospital Medicine Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871113761 PECOS PAC ID: 9830510023 Enrollment ID: O20200526000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Dewayne Hyde, MD 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 Ph: (405) 283-9000 | Glen Dewayne Hyde, MD 12200 Ashford Dr, Yukon, OK 73099-8762 Ph: (405) 283-9000 |
Ngoc Bao Thi Nguyen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 Grant Blvd Ste 103, Yukon, OK 73099 Phone: 405-467-5340 Fax: 405-467-5341 | |
Henry Le, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 S Mustang Rd, Yukon, OK 73099 Phone: 405-936-5910 Fax: 405-577-2605 | |
Dena Moreman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Wimberly Dr, Yukon, OK 73099 Phone: 405-570-1188 Fax: 405-265-3337 | |
Alicia Claire Hubbell, MD, MBA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Integris Canadian Valley Hospital, 1201 Health Center Parkway, Yukon, OK 73099 Phone: 817-996-1725 | |
Mr. Farhan Mujtaba Qureshi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Health Center Parkway, Suite 200, Yukon, OK 73099 Phone: 405-717-6952 Fax: 405-350-9687 |