| Jeremy T Phelps, MD | |
|
2821 36th Ave Nw Ste 150, Norman, OK 73072-2489 | |
| (405) 307-1000 | |
| Not Available |
| Full Name | Jeremy T Phelps |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 22 Years |
| Location | 2821 36th Ave Nw Ste 150, Norman, 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 |
|---|---|---|---|
| 1134268139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 27908 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norman Regional | Norman, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Norman Regional Providers Specialty Care | 5496900706 | 157 |
| 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 | Norman Regional Providers Specialty Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548513773 PECOS PAC ID: 5496900706 Enrollment ID: O20130312000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy T Phelps, MD Po Box 1330, Norman, OK 73070-1330 Ph: (405) 307-1000 | Jeremy T Phelps, MD 2821 36th Ave Nw Ste 150, Norman, OK 73072-2489 Ph: (405) 307-1000 |
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