| Ivanka A Vassileva, MD | |
|
4411 W Gore Blvd, Ste B10, Lawton, OK 73505-5977 | |
| (580) 354-9600 | |
| (580) 354-9621 |
| Full Name | Ivanka A Vassileva |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 4411 W Gore Blvd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295729929 | NPI | - | NPPES |
| 200055900A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22970 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comanche County Memorial Hospital | Lawton, OK | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Entity Name | Ivanka A. Vassileva, M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245428630 PECOS PAC ID: 8527097013 Enrollment ID: O20050804000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivanka A Vassileva, MD 4411 W Gore Blvd, Ste B10, Lawton, OK 73505-5977 Ph: (580) 354-9600 | Ivanka A Vassileva, MD 4411 W Gore Blvd, Ste B10, Lawton, OK 73505-5977 Ph: (580) 354-9600 |
Mark W Cotton, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5610 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-6600 Fax: 580-536-2427 | |
Michael Ramos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3811 W Gore Blvd, Suite 1, Lawton, OK 73505 Phone: 580-585-5550 Fax: 580-585-5551 | |
John C Loose, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd Ste 305, Memorial Medical Group, Lawton, OK 73505 Phone: 580-510-7070 | |
Dr. Ama Amofah, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8699 | |
Joseph Dawley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Nw Arlington Ave, Lawton, OK 73507 Phone: 580-248-2288 | |
Dr. Patrice Elaine Mooney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 501 Se Flower Mound Rd, Lawton, OK 73501 Phone: 580-351-6511 | |
Dr. Gregory P Pineau, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Sw Goodyear Blvd, Lawton, OK 73505 Phone: 580-531-5878 Fax: 580-531-5779 |