| Gregory D Powell, MD | |
|
3201 W Gore Blvd Ste 104, Lawton, OK 73505-6350 | |
| (580) 250-6659 | |
| (580) 250-5249 |
| Full Name | Gregory D Powell |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 37 Years |
| Location | 3201 W Gore Blvd Ste 104, 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 |
|---|---|---|---|
| 1780677815 | NPI | - | NPPES |
| 115799204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 39168 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Baylor Scott & White Medical Center - Frisco | Frisco, TX | Hospital |
| North Texas Medical Center | Gainesville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Pain And Wellness Pa | 1557378601 | 16 |
| Comanche County Healthcare Corporation | 0749192433 | 123 |
| Entity Name | American Pain & Wellness Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306857305 PECOS PAC ID: 1557378601 Enrollment ID: O20060314000575 |
| Entity Name | Functional Recovery Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235532425 PECOS PAC ID: 4587973383 Enrollment ID: O20151019000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory D Powell, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 | Gregory D Powell, MD 3201 W Gore Blvd Ste 104, Lawton, OK 73505-6350 Ph: (580) 250-6659 |
Sandra Jean Koch, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 233 Valleyview Dr, Lawton, OK 73507 Phone: 580-529-2355 | |
Tina C Small, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5109 W Gore Blvd, Lawton, OK 73505 Phone: 580-699-2495 Fax: 580-699-2515 | |
Dr. Zachary Michael Berry, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd, Suite 104, Lawton, OK 73505 Phone: 580-250-6659 Fax: 580-250-5249 |