| Jeffrey Robert Shuart, MD | |
|
115 W Bridge Ave, Blackwell, OK 74631-2800 | |
| (580) 363-3501 | |
| (580) 363-3477 |
| Full Name | Jeffrey Robert Shuart |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 115 W Bridge Ave, Blackwell, 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 |
|---|---|---|---|
| 1114923489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18498 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 18498 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stillwater Medical-blackwell | Blackwell, OK | Hospital |
| Stillwater Medical - Perry | Perry, OK | Hospital |
| Integris Community Hospital - Council Crossing | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Central Emergency Services, Pc | 8224212949 | 57 |
| Amc Urgent Care Plus Llc | 3971509381 | 16 |
| Emergency Services Of Oklahoma Pc | 8123209012 | 63 |
| Entity Name | Stillwater Medical Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20051122000749 |
| Entity Name | Amc Urgent Care Plus LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285644153 PECOS PAC ID: 3971509381 Enrollment ID: O20061007000015 |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140523001063 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20210107000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Robert Shuart, MD 115 W Bridge Ave, Blackwell, OK 74631-2800 Ph: (580) 363-3501 | Jeffrey Robert Shuart, MD 115 W Bridge Ave, Blackwell, OK 74631-2800 Ph: (580) 363-3501 |
Phil James Green, PAC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-363-0052 Fax: 580-363-0894 |
Samuel Lyle Hague, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-363-0052 Fax: 580-363-0894 |
Paul A. Briggs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-363-0052 Fax: 580-363-0894 |