| Jacob C Carman, DO | |
|
1201 Health Center Pkwy, Yukon, OK 73099-6381 | |
| (405) 717-6800 | |
| (405) 717-7964 |
| Full Name | Jacob C Carman |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 1201 Health Center Pkwy, 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 |
|---|---|---|---|
| 1396884839 | NPI | - | NPPES |
| 200180870A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4390 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Canadian Valley Hospital | Yukon, OK | Hospital |
| Integris Health Edmond | Edmond, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Professionals Pllc | 5991970279 | 98 |
| 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 | Anesthesia Medical Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob C Carman, DO 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 Ph: (405) 717-6800 | Jacob C Carman, DO 1201 Health Center Pkwy, Yukon, OK 73099-6381 Ph: (405) 717-6800 |
Courtney Renee Wylie, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-6800 Fax: 405-717-7964 | |
Terry Allen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-6800 Fax: 405-717-7964 | |
Jo Walia, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-6800 Fax: 405-717-7964 | |
Andy C Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-6800 Fax: 405-717-7964 |