| Jesse Grant, MD | |
| 
					2701 N Rockwell Ave, Bethany, OK 73008-5246  | |
| (405) 789-4150 | |
| (405) 789-1067 | 
| Full Name | Jesse Grant | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 2701 N Rockwell Ave, Bethany, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871118208 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 35971 (Oklahoma) | Primary | 
| Entity Name | Mercy Clinic Oklahoma Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jesse Grant, MD 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150  | Jesse Grant, MD 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150  | 
Russell D. Ingram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-8550 Fax: 405-787-4982  | |
Catherine Phuong Le, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711  | |
Dr. Dustin R Baker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-470-6510 Fax: 405-470-6520  | |
Debra A. Riggs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Rockwell Ave, Bethany, OK 73008 Phone: 405-789-4150 Fax: 405-787-7920  | |
Dr. Wade T Mccoy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-7747 Fax: 405-789-6734  | |
Dr. Joseph C Broome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-787-4915 Fax: 405-789-6303  | |
Bucy Annie Rajan Thomas, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-349-5145  |